·         Atheromatous occlusion of the distal abdominal aorta at the bifurcation into the common iliac arteries

·         Triad of symptoms includes

o       Claudication in the legs or buttocks

o       Absent or diminished femoral pulses

o       Erectile dysfunction

·         Usually affects younger males ages 30-40

·         Risk factors include

o       Cigarette smoking

o       Hypercholesterolemia

o       Less likely to have associated diabetes

·         Because development of the disease is slow and collaterals develop, limb-threatening ischemic disease does not tend to occur

·         Imaging can be done with non-invasive methods such as MRI and CT angiography or through arterial duplex scanning

·         Treatment is aortoiliac bypass