Revista Española de Cardiología (English Edition) Revista Española de Cardiología (English Edition)
Rev Esp Cardiol. 2012;65:1133 - Vol. 65 Num.12 DOI: 10.1016/j.rec.2011.01.002

Leriche's Syndrome and Thoracic Aortic Mural Thrombus

Javier Montero-Tinnirello a,, Manuel Vilar-Freire b, Carlos Delgado Sánchez-Gracián c

a Departamento de Medicina Interna, Hospital Povisa, Vigo, Pontevedra, Spain
b Departamento de Cardiología, Hospital Povisa, Vigo, Pontevedra, Spain
c Departamento de Radiodiagnóstico, Hospital Povisa, Vigo, Pontevedra, Spain

Article

A 63-year-old female presented with proximal bilateral lower extremity pain that occurred after walking and was resolved by resting in the standing position. Her past medical history was significant for obesity, hypertension, and dyslipemia. On physical examination, the bilateral pedial and posterior tibial pulses were absent, the bilateral popliteal pulses and the left femoral pulse were weak, and the right femoral pulse was not palpable. The computed tomography angiogram revealed diffuse atherosclerotic disease involving the infrarenal abdominal aorta, causing an occlusion of distal aorta and both primitive iliac arteries with posterior spontaneous revascularization (Figure 1A, 1B); a mobile thrombus originated from the inner curve of the isthmic aorta and extended over 10cm, occluding 65% of the lumen of the descending aorta (Figure 2A, 2B).

Figure 1.

Figure 2.

Laboratory tests, including those for thrombophilia and autoimmune diseases, were normal. The patient refused surgery and acenocumarol was started.

Corresponding author: jjmmmontero@hotmail.com

1885-5857/© 2012 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved

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