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Tummala et al. Vessel Plus 2017;1:155-8 Vessel Plus
DOI: 10.20517/2574-1209.2016.14
www.vpjournal.net
Case Report Open Access

Leriche’s syndrome: a rare complication

following anterior approach lumbar spinal

surgery

Ramyashree Tummala , Keyvan Ravakhah , Anjan Gupta 2
1
1
1 Department of Internal Medicine, St. Vincent Charity Medical Center, affiliate of Case Western Reserve University, Cleveland, OH 44101, USA.
2 Department of Cardiology, St. Vincent Charity Medical Center, affiliate of Case Western Reserve University, Cleveland, OH 44101, USA.
Correspondence to: Dr. Ramyashree Tummala, Department of Internal Medicine, St. Vincent Charity Medical Center, affiliate of Case Western
Reserve University, Cleveland, OH 44101, USA. E-mail: ramyashree19@gmail.com
How to cite this article: Tummala R, Ravakhah K, Gupta A. Leriche’s syndrome: a rare complication following anterior approach lumbar spinal
surgery. Vessel Plus 2017;1:155-8.

Dr. Ramyashree Tummala was born and raised in India. After finishing her medical school in India, she was
selected for clinical research fellowship at Harrington Vascular and Heart Institute, University Hospitals. Currently,
she is an Internal Medicine resident at St. Vincent Charity Medical Center, Cleveland, Ohio, planning her career as
a physician researcher in cardiology. She is keen on working on topics related to peripheral vascular disease, heart
failure and interventional cardiology. She presented many abstracts at international conferences like SCAI, AHA,
ACP and more.

ABSTRACT
Article history: Leriche’s syndrome is an aortic occlusive disease, which is due to obliteration of distal aorta
Received: 3 Dec 2016 above the site of bifurcation of common iliac arteries. The classic triad of symptoms include
Accepted: 9 Jan 2017 claudication, impotence, and absent or decreased femoral pulses. It may be acute or chronic
Published: 26 Sep 2017 in onset. Most of the cases are chronic in nature due to baseline pathophysiology involving
atherosclerotic changes in the aorta. There are many causes of acute leriche’s syndrome like
Key words: surgical manipulation, trauma, thromboembolic disease, hypercoagulability, atrial fibrillation,
Leriche’s syndrome, neoplasm, intraplaque hemorrhage in an aneurysm. Post-surgical Leriche’s syndrome is rare
anterior lumbar interbody fusion, and needs a strong index of suspicion to diagnose. The authors highlight a case of Leriche’s
aortoiliac atherosclerotic disease, syndrome, as a post-surgical complication and its clinical importance.
thrombus,
aortoiliac endarterectomy,
aortobifemoral bypass

INTRODUCTION the site of bifurcation of common iliac arteries.
[1]
The classic triad of symptoms include claudication,
Leriche’s syndrome is an aortic occlusive disease, impotence, and absent or decreased femoral pulses.
[2]
which is due to obliteration of distal aorta above It may be acute or chronic in onset. Most of the cases
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