Endovascular Management of Leriche Syndrome in a 76-Year-Old Woman: A Case Report

Aortoiliac occlusive disease (AIOD), or Leriche syndrome, is caused by atherosclerotic stenosis or occlusion of the infrarenal aorta and iliac arteries. It may present with claudication, rest pain, and absent femoral pulses. We report the case of a 76-year-old woman with hypertension and a history of smoking who presented with bilateral lower limb claudication and rest pain. Imaging revealed a high-grade infrarenal aortic stenosis consistent with a TransAtlantic Inter-Society Consensus II (TASC II) type D lesion. She underwent successful endovascular treatment via right femoral access, consisting of percutaneous transluminal angioplasty followed by implantation of an E-Luminexx™ Stent 12×40 mm (Becton Dickinson, New Jersey, USA). Post-operative recovery was uneventful, with improved distal perfusion and normalization of ankle-brachial index values. Follow-up imaging at three months confirmed stent patency. This case illustrates that endovascular management is a safe and effective alternative to open surgery for selected patients with complex AIOD, especially in elderly individuals with comorbidities.