OTHER ABNORMALITIES OF THE AORTA

ATHEROSCLEROTIC OCCLUSIVE DISEASE OF ABDOMINAL AORTA

Particularly common in presence of diabetes mellitus or cigarette smoking. Symptoms include intermittent claudication of the buttocks and thighs and impotence (Leriche syndrome); femoral and other distal pulses are absent. Diagnosis is established by noninvasive leg pressure measurements and Doppler velocity analysis, and confirmed by MRI, CT, or aortography. Catheter-based endovascular treatment or aortic-femoral bypass surgery is required for symptomatic treatment or in cases of critical limb ischemia.

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