Centre for Research and Development, Uppsala University/Region Gävleborg, 801 87, Gävle, Sweden.
Cardiology Research Unit, Department of Medicine, Karolinska Institutet, 171 76, Stockholm, Sweden.
BMC Cardiovasc Disord. 2021 Apr 30;21(1):220. doi: 10.1186/s12872-021-02031-4.
Leriche syndrome is the triad of symptoms consisting of claudication, erectile dysfunction, and absence of femoral pulses. Inflammatory disease of the heart muscle, myocarditis, may occur because of immune system activation, drug exposure or infections.
A 31-year-old man with no previous medical history presented to the emergency department with acute back pain that had started suddenly during weightlifting, which was initially misdiagnosed as spinal disc herniation. The patient returned four hours later and a thoracoabdominal computed tomography showed a large thrombus in the aortoiliac region creating a total occlusion. Vascular surgery with embolectomy was immediately performed. Further investigation with echocardiography revealed deteriorated systolic dysfunction with marked hypokinesia and two large thrombi in the left ventricle. Cardiac magnetic resonance imaging showed late contrast enhancement of the inferolateral and septal regions, which indicated a recent myocarditis.
Myocarditis can result in multiple embolization with diverse organ manifestation including total occlusion of the aortoiliac arteries, which required urgent embolectomy.
勒里希三主征是由跛行、勃起功能障碍和股动脉搏动消失组成的三联征。心肌炎症，心肌炎，可能由于免疫系统激活、药物暴露或感染而发生。
一名 31 岁的男性，无既往病史，因举重时突然出现急性背痛就诊于急诊科，最初误诊为椎间盘突出症。患者四小时后返回，胸腹部计算机断层扫描显示在腹主动脉和髂动脉区域有一个大血栓，造成完全阻塞。立即进行血管外科取栓术。进一步的超声心动图检查显示收缩功能恶化，左心室有两个大的血栓，出现明显的运动障碍。心脏磁共振成像显示下外侧和间隔区域的晚期对比增强，提示近期心肌炎。
心肌炎可导致多种栓塞，表现为多器官受累，包括腹主动脉和髂动脉完全阻塞，需要紧急取栓。
