Leriche Syndrome in a post-CABG patient

We report the case of a 48 years-old man diagnosed with Leriche syndrome. The patient had no angina, rare palpitations and intermittent claudication with a walking perimeter about 500 meters. The patient had numerous cardiovascular risk factors and he underwent a percutaneous transluminal coronary angioplasty (PTCA) on right coronary artery (RCA) and on left anterior descending (LAD) artery thirteen years ago. In-stent restenosis was found two years after PTCA thus, a primary isolated coronary artery bypass graft (CABG) surgery was performed using an in situ left internal mammary artery (LIMA) graft to LAD and a radial artery graft on RCA. Eleven years post-CABG surgery, a coronary CT angiography examination revealed that the radial graft on RCA and the native right coronary artery were occluded, but in situ LIMA graft was permeable. The CT angiography of the abdominal aorta and lower limbs showed that the aortic bifurcation and common iliac arteries were occluded