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Surgical Treatment of Cystic Adventitial Disease of the Popliteal Artery: Five Case Reports.

Igari K, Kudo T, Toyofuku T, Inoue Y - Case Rep Vasc Med (2015)

Bottom Line: The etiology of CAD is unclear; however, the direct communication between a cyst and a joint is presumed to be a cause.Although less invasive treatment modalities, including percutaneous cyst aspiration and percutaneous transluminal angioplasty, have been the subject of recent reports, these treatments have had a higher recurrence rate.Therefore, all of the CAPDA cases in the present series were treated surgically, which lead to good outcomes.

View Article: PubMed Central - PubMed

Affiliation: Division of Vascular and Endovascular Surgery, Department of Surgery, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan.

ABSTRACT
Cystic adventitial disease (CAD) is a rare cause of intermittent claudication and nonatherosclerotic conditions in middle-aged men without cardiovascular risk factors. The etiology of CAD is unclear; however, the direct communication between a cyst and a joint is presumed to be a cause. We herein report a case series of CAD of the popliteal artery (CADPA), in which patients were treated with surgical resection and vascular reconstruction. Although less invasive treatment modalities, including percutaneous cyst aspiration and percutaneous transluminal angioplasty, have been the subject of recent reports, these treatments have had a higher recurrence rate. Therefore, all of the CAPDA cases in the present series were treated surgically, which lead to good outcomes.

No MeSH data available.


Related in: MedlinePlus

A resected specimen showing the popliteal artery with an adventitial cyst.
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fig3: A resected specimen showing the popliteal artery with an adventitial cyst.

Mentions: A 58-year-old male presented with one year history of intermittent claudication in his right calf with a symptom-free walk interval of 500 meters without rest pain. On physical examination, his right popliteal and pedal pulses were palpable, and his right ABI was within the normal range (1.1) at rest. However, after long-distance walking, his right popliteal pulse diminished. CT showed a stenosis of the right popliteal artery, compressed by a low density cystic mass. Under general anesthesia, he was positioned supine to harvest the ipsilateral great saphenous vein and expose the affected popliteal artery through a medial approach. The stenotic popliteal artery with a compressing cystic lesion was resected and the patient was interposed with a great saphenous vein graft. The patient's postoperative course was uneventful without any evidence of lower limb ischemia. His claudication after long-distance walking improved. CAD was confirmed by the histopathological findings, based on the presence of multiple mucinous foci of degeneration in the adventitia of arterial wall (Figure 3).


Surgical Treatment of Cystic Adventitial Disease of the Popliteal Artery: Five Case Reports.

Igari K, Kudo T, Toyofuku T, Inoue Y - Case Rep Vasc Med (2015)

A resected specimen showing the popliteal artery with an adventitial cyst.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4539061&req=5

fig3: A resected specimen showing the popliteal artery with an adventitial cyst.
Mentions: A 58-year-old male presented with one year history of intermittent claudication in his right calf with a symptom-free walk interval of 500 meters without rest pain. On physical examination, his right popliteal and pedal pulses were palpable, and his right ABI was within the normal range (1.1) at rest. However, after long-distance walking, his right popliteal pulse diminished. CT showed a stenosis of the right popliteal artery, compressed by a low density cystic mass. Under general anesthesia, he was positioned supine to harvest the ipsilateral great saphenous vein and expose the affected popliteal artery through a medial approach. The stenotic popliteal artery with a compressing cystic lesion was resected and the patient was interposed with a great saphenous vein graft. The patient's postoperative course was uneventful without any evidence of lower limb ischemia. His claudication after long-distance walking improved. CAD was confirmed by the histopathological findings, based on the presence of multiple mucinous foci of degeneration in the adventitia of arterial wall (Figure 3).

Bottom Line: The etiology of CAD is unclear; however, the direct communication between a cyst and a joint is presumed to be a cause.Although less invasive treatment modalities, including percutaneous cyst aspiration and percutaneous transluminal angioplasty, have been the subject of recent reports, these treatments have had a higher recurrence rate.Therefore, all of the CAPDA cases in the present series were treated surgically, which lead to good outcomes.

View Article: PubMed Central - PubMed

Affiliation: Division of Vascular and Endovascular Surgery, Department of Surgery, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan.

ABSTRACT
Cystic adventitial disease (CAD) is a rare cause of intermittent claudication and nonatherosclerotic conditions in middle-aged men without cardiovascular risk factors. The etiology of CAD is unclear; however, the direct communication between a cyst and a joint is presumed to be a cause. We herein report a case series of CAD of the popliteal artery (CADPA), in which patients were treated with surgical resection and vascular reconstruction. Although less invasive treatment modalities, including percutaneous cyst aspiration and percutaneous transluminal angioplasty, have been the subject of recent reports, these treatments have had a higher recurrence rate. Therefore, all of the CAPDA cases in the present series were treated surgically, which lead to good outcomes.

No MeSH data available.


Related in: MedlinePlus