We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......

Management of Juxtarenal Aortic Occlusions

Arch Surg. 1963;87(2):230-238. doi:10.1001/archsurg.1963.01310140038010.
Text Size: A A A
Published online


"... le traitement idéal consisterait évidement à reséquer la zône obliterée et á retablir la perméabilité arterielle si c'est possible..."

Leriche, 1923

While the syndrome of occlusion of the terminal aorta is frequently observed, the symptom complex caused by aortic obliteration at or above the renal artery level is seldom seen. Occlusion at this higher level usually results from slow proximal progression of a distal aortic thrombosis and insidiously threatens the blood supply to vital organs. The many years of development which this process entails notwithstanding, patients with this end-stage of the Leriche syndrome often remain undiagnosed until their surgical management poses very real problems.9,11,19

The incidence of the Leriche syndrome has not been ascertained but it has been shown that in patients with aortic occlusion who reach vascular centers, from 3% to 15% will have obstruction to flow at the level of the left renal artery.15,28 That


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.