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Atypical Leriche syndrome

, : Atypical Leriche syndrome. Zeitschrift für Kardiologie 92(3): 260-266

A 73-year old woman presented with mild paraparesis and hypesthesia of the legs. Furthermore, she complained dizziness, fainting and dyspnea. There was a history of peripheral artery disease, diabetes mellitus, arterial hypertension and chronic atrial fibrillation. Five years ago she had breast cancer with removal of the left mamma and additional radiation therapy. Cardiac catheterization at that time demonstrated no significant coronary stenoses. A contrast-enhanced CT-scan excluded lumbal spinal metastases. Instead, a subtotal occlusion of the abdominal aorta was noticed, but was initially interpreted as a chronic thrombosis because there were no typical symptoms and only moderate pain. About 24 hours later the patient developed an acute ischemic syndrome of the legs with progressive paraparesis, cold and pale legs in combination with acidosis and hyperventilation. Color-coded duplex ultrasound showed only a small turbulent flow in the iliacal arteries, highly suspicious of a complete occlusion of the distal aorta. Angiography revealed an acute total occlusion of the infrarenal aorta without collaterals. During surgical intervention, complete obstruction of the abdominal aorta above the bifurcation was confirmed. Subsequent embolectomy was performed and an embolus consisting of several layers of different age was extracted. After successful surgical intervention with subsequent clinical improvement, the patient's clinical condition deteriorated a few day later. She died on day 9 after surgery from a complete ischemia of the small intestine and the colon ascendens.


PMID: 12658474

DOI: 10.1007/s00392-003-0896-5

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Gullan, P.J.; Cranston, P.S., 1999: The insects: an outline of entomology. This comprehensive introduction to insects includes chapters on the following topics: the importance and diversity of insects, external anatomy, internal anatomy and physiology, sensory systems and behaviour, reproduction, insect development and l...

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Panicker, K.N.; Jayasree, M.; Krishnamoorthy, K., 1992: A cost benefit analysis of fish culture strategy towards the control of mansonioides in Shertallai, Kerala state. The cost benefit analysis of fish culture as a means of vector control towards the containment of Brugian filariasis in Shertaillai, a highly endemic tract for this disease in Kerala [India] was carried out. While the financial gain accrued to the...

Lubinus, H.H., 1989: The Link-Rippen system. Orthopedics 12(9): 1205-1208

Woods, K.L.; Ketley, D., 1999: Utilisation of thrombolytic therapy in older patients with myocardial infarction. Empirical evidence from many countries, obtained from sampling populations of patients admitted to hospital with acute myocardial infarction, has confirmed that elderly patients are significantly less likely to receive thrombolytic therapy. This d...

Inyushkin, A.N.; Merkulova, N.A.; Orlova, A.O.; Inyushkina, E.M., 2011: Local GABAergic modulation of the activity of serotoninergic neurons in the nucleus raphe magnus. Experiments on rat brainstem sections in membrane potential clamping conditions addressed the effects of serotonin and GABA on serotoninergic neurons in the nucleus raphe magnus. Local application of serotonin stimulated inhibitory postsynaptic cu...

Sun, P.; Lyu, H.; Jin, Y., 2017: Endoscopic full-thickness resection of synaptophysin-positive glomus tumor in gastric body: report of a case. Zhonghua Bing Li Xue Za Zhi 46(11): 791-792

Greenberg, L., 2012: This issue: perspectives on pediatric medical education. Pediatric Annals 40(12): 586, 588-586, 588

Gilbert, F., 1948: Control of weeds in strawberries with 2,4-D. Preliminary trials made at the New Jersey Experiment Station with the Sparkle and Pathfinder varieties of strawberry indicate that a preplanting spray of 2, 4-D may be used to retard the growth of grasses and broad-leaved weeds without injury to t...