The Aorta is the outflow conduit to the blood pumped by the heart to the whole body. The Aortic or branches occlusion lead to signs and symptoms of blood privation to the target organ. Collateral circulation might develop in the chronic cases.
The symptoms are directly related to the territory of blood flow privation.
In the case of the Aortic arch, neurological and superior limbs symptoms might come out.
On the other hand, the occlusion of the terminal Aorta characterizes the Leriche syndrome.
In this condition the privation of blood flow to the pelvis and inferior limbs causes symptoms like erectile disfunction in males and intermittent pain in the limbs when walking (intermittent claudication). In Physical examination the absence of femoral pulses in noted.
In the severe cases, revascularization can be performed by open or Endovascular repair. The endovascular approach presents less risk but the open approach presents a higher longevity of the revascularization.
Despite of the option, the clinical management of the Atherosclerosis and its risk factors is fundamental. The synchronic occurrence of coronary disease and cerebrovascular disease is frequent and shall be investigated and controlled.
The best approach is variable to each case and shall be detailed by the physician.
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