Leriche's Syndrome in a Middle-aged Woman

Abstract

Leriche syndrome is a form of peripheral arterial disease characterized by occlusion of the abdominal aorta and/or iliac arteries, resulting in ischemia of the lower extremities. This case report aimed to present a middle-aged woman, with a history of toxic smoking habit, who presented for consultation with complaints of intermittent claudication in the gluteal region when walking. Imaging studies confirmed the occlusion of the distal aorta and iliac arteries, which corroborated the diagnosis of Leriche syndrome. Given the severity of her condition and the progression of symptoms, it was decided to implement an endovascular approach. Angioplasty with stenting of the aorta and common iliac arteries was performed, which restored blood flow to the patient's lower extremities. Postoperative follow-up showed significant improvement in symptoms, with resolution of claudication. This case highlights not only the importance of early and accurate diagnosis of Leriche syndrome in women, but also the efficacy of endovascular techniques as a treatment. It is concluded that the endovascular approach is a safe and effective option for the management of Leriche syndrome because it improves the patient's quality of life and allows early recovery. This report underscores the need for an individualized approach in the treatment of peripheral arterial disease in middle-aged women.