본 저자들은 Abdominal aorta와 iliac artery의 혈전성 패색에 의해 양측 하지의 동통, 창백 및 미약한 위축과 성불능이 있는 Leriche 증후군 1례를 Dacron graft를 사용하여 Aortobifemoral graft를 시술하여 좋은 결과를 얻었기에 문헌고찰과 함께 보고하는 바이다.
Leriche syndrome is a chronic disorder mostly in male and is a specific symptom complex due to thrombotic obliteration of the aortic bifurcation as result of a atherosclerotic change. The symptoms include 1) extreme liability to fatigu of both lower limbs; 2) symmetric atrophy of both lower limbs; 3) pallor of the legs and feets; 4) inability to maintain stable erection. There are several methods for surgical management of this disorder; 1) thromboendarterectomy with or without sympathectomy; 2) aortoiliac bypass graft; 3) aortofemoral bypass graft. Here we report a case of Leriche syndrome which was successfully managed with arotobifemoral bypass graft with Dacron and reviewed literatures on it briefly.
