MRA SCANNING IS SUPERIOR TO ROUTINE DSA IN A PATIENT WITH LERICHE SYNDROME IN SURGICAL PLANNING: CASE REPORT

The term Leriche syndrome is commonly used to describe a variety of clinical symptoms attributed to the obstruction of the infrarenal aorta. Common clinical symptoms include thigh, hip, and buttock claudication as well as erectile impotence, usually in association with diminished femoral pulses. Our case determined the diagnostic utility of contrast-enhanced 3D MRA in patients with Leriche syndrome. The ability of 3D MRA to depict the level of aortic occlusion, the most proximal graftable arterial segments, and the type and extent of collateral pathways was shown in a 67-year-old male patient whose distal flows weren't shown by DSA. The patient underwent aortabifemoral bypass operation with bifurcated Dacron graft and was discharged on the 6th postoperative day with palpable distal pulses. (Turkish J Vasc Sur 2007;16(3):43-48).