Leriche syndrome is characterized by atheromatous occlusion of the infrarenal aorta,common iliac arteries or both.Considering the epidemiological transition recently observed in some low/middle income countries,primar...Leriche syndrome is characterized by atheromatous occlusion of the infrarenal aorta,common iliac arteries or both.Considering the epidemiological transition recently observed in some low/middle income countries,primary prevention of peripheral arterial disease progression is of utmost relevance.We described two cases of severe leriche syndrome in clinical situations of high complexity with fatal outcomes.The simultaneous presence of clinically relevant atherosclerotic lesions in two major vascular territories,requires attention not only on lesion sites and inherent invasive procedures technical difficulties,but also on the cardiovascular risk factors and comorbidities.The remarkable feature is the existence of diffuse atherosclerosis and comorbidities whose severity conditioned deference and complications of the vascular lesion treatment.Leriche syndrome has an important impact on cardiovascular and overall mortality.This case report highlights the need of re-thinking established approach to atherosclerotic disease,especially in countries with limited resources.展开更多
To the Editor： Degenerative mitral valve disease is a common disorder afflicting 2-3 % of the general population and nearly half of them are elderly. Plenty of studies have confirmed that mitral repair would result ...To the Editor： Degenerative mitral valve disease is a common disorder afflicting 2-3 % of the general population and nearly half of them are elderly. Plenty of studies have confirmed that mitral repair would result in better outcomes than mitral replacement for degenerative valve disease.展开更多
文摘Leriche syndrome is characterized by atheromatous occlusion of the infrarenal aorta,common iliac arteries or both.Considering the epidemiological transition recently observed in some low/middle income countries,primary prevention of peripheral arterial disease progression is of utmost relevance.We described two cases of severe leriche syndrome in clinical situations of high complexity with fatal outcomes.The simultaneous presence of clinically relevant atherosclerotic lesions in two major vascular territories,requires attention not only on lesion sites and inherent invasive procedures technical difficulties,but also on the cardiovascular risk factors and comorbidities.The remarkable feature is the existence of diffuse atherosclerosis and comorbidities whose severity conditioned deference and complications of the vascular lesion treatment.Leriche syndrome has an important impact on cardiovascular and overall mortality.This case report highlights the need of re-thinking established approach to atherosclerotic disease,especially in countries with limited resources.
文摘To the Editor： Degenerative mitral valve disease is a common disorder afflicting 2-3 % of the general population and nearly half of them are elderly. Plenty of studies have confirmed that mitral repair would result in better outcomes than mitral replacement for degenerative valve disease.
