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Abstract
Leriche syndrome is a chronic arterial occlusive disease that primarily affects the
lower abdominal aorta and iliac artery bifurcation. We present the case of a 53-yearold
male with a classical Leriche triad of gluteal claudication, erectile dysfunction,
and the absence of a femoral pulse. The patient had a history of hypertension and
heavy smoking. Physical exam showed no ulcers. Distal capillary fill was greater than
10 seconds. Complementary exams reported normal findings. Leriche syndrome was
suspected, and thoracoabdominal computed tomography angiography and lower limb
computed tomography angiography were performed, revealing complete occlusion of
the lower aortic bifurcation and iliac artery involvement. A retroperitoneal approach
for bifemoral aortic bypass was performed. The patient had an optimal postoperative
period and recovery.
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