ABSTRACTLeriche syndrome is a chronic arterial occlusive disease that primarily affects the lower abdominal aorta and iliac artery bifurcation. We present the case of a 53-year-old male with a classical Leriche triad of gluteal claudication, erectile dysfunction, and the absence of a femoral pulse. The patient had a history of hypertension and heavy smoking. Physical exam showed no ulcers. Distal capillary fill was greater than 10 seconds. Complementary exams reported normal findings. Leriche syndrome was suspected, and thoracoabdominal computed tomography angiography and lower limb computed tomography angiography were performed, revealing complete occlusion of the lower aortic bifurcation and iliac artery involvement. A retroperitoneal approach for bifemoral aortic bypass was performed. The patient had an optimal postoperative period and recovery.