EXternal iliac "steal syndrome"

A case of steal syndrome in the external iliac artery characterized by distinct clinical symptoms and by a reversal of blood flow in the internal iliac artery secondary to the closure of the common iliac artery, has been described. The patient reported marked decrease in sexual activity and impariment of erection in addition to intermittent claudication of the corresponding lower extremity. He was able to achieve and maintain an erection only with absolute rest. The erection disapperaed immediately when he moved his lower extremities. Endarterectomy of the common external and internal iliac arteries along with an aortofemoral bypass, resulted in disapperrance of both claudication and his sexual impotence.