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Cystic adventitial disease of the popliteal artery. A case report and review of the literature.
Chir Ital. 2008 Jan-Feb; 60(1):153-8.CI

Abstract

Cystic adventitial disease is a rare form of non-atherosclerotic stenosis and one of the main causes of claudication in young and middle-aged men. Approximately 200 case reports are available in the literature to date. It is generally located in the popliteal artery, although it may be found in other arteries and even in veins. The aetiology is still unclear: most authors believe that the cyst may originate from a synovial ganglion close to the adjacent hip joint capsule. Patients affected by adventitial cystic degeneration are often young male non-smokers with intermittent calf claudication. The treatment of choice is surgical removal of the cyst or reconstruction with autologous vein or synthetic graft interposition. Percutaneous US-guided cystic aspiration is a recent easy and safe alternative method for treating the disease but may result in local recurrence. We report the case of a 51-year-old male patient with clinically intermittent claudication of the right leg. The arteriogram showed complete occlusion of the right proximal popliteal artery and no evidence of atherosclerotic disease in other vessels. The diagnosis was made at the time of surgery. Surgical exploration revealed a gelatinous material involving the popliteal artery. It was excised and evacuated and a segment of greater saphenous vein interposed. Ultrasound examination 12 months later showed graft patency and absence of local recurrence.

Authors+Show Affiliations

Division of Vascular Surgery, San Camillo Hospital, Rome.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

18389761

Citation

Pannone, Alfonso, et al. "Cystic Adventitial Disease of the Popliteal Artery. a Case Report and Review of the Literature." Chirurgia Italiana, vol. 60, no. 1, 2008, pp. 153-8.
Pannone A, Di Cesare F, Bartolucci R, et al. Cystic adventitial disease of the popliteal artery. A case report and review of the literature. Chir Ital. 2008;60(1):153-8.
Pannone, A., Di Cesare, F., Bartolucci, R., Maritati, G., Lucchetti, G., & Rabitti, G. (2008). Cystic adventitial disease of the popliteal artery. A case report and review of the literature. Chirurgia Italiana, 60(1), 153-8.
Pannone A, et al. Cystic Adventitial Disease of the Popliteal Artery. a Case Report and Review of the Literature. Chir Ital. 2008 Jan-Feb;60(1):153-8. PubMed PMID: 18389761.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cystic adventitial disease of the popliteal artery. A case report and review of the literature. AU - Pannone,Alfonso, AU - Di Cesare,Fabio, AU - Bartolucci,Roberto, AU - Maritati,Gabriele, AU - Lucchetti,Giuseppe, AU - Rabitti,Giorgio, PY - 2008/4/9/pubmed PY - 2008/5/24/medline PY - 2008/4/9/entrez SP - 153 EP - 8 JF - Chirurgia italiana JO - Chir Ital VL - 60 IS - 1 N2 - Cystic adventitial disease is a rare form of non-atherosclerotic stenosis and one of the main causes of claudication in young and middle-aged men. Approximately 200 case reports are available in the literature to date. It is generally located in the popliteal artery, although it may be found in other arteries and even in veins. The aetiology is still unclear: most authors believe that the cyst may originate from a synovial ganglion close to the adjacent hip joint capsule. Patients affected by adventitial cystic degeneration are often young male non-smokers with intermittent calf claudication. The treatment of choice is surgical removal of the cyst or reconstruction with autologous vein or synthetic graft interposition. Percutaneous US-guided cystic aspiration is a recent easy and safe alternative method for treating the disease but may result in local recurrence. We report the case of a 51-year-old male patient with clinically intermittent claudication of the right leg. The arteriogram showed complete occlusion of the right proximal popliteal artery and no evidence of atherosclerotic disease in other vessels. The diagnosis was made at the time of surgery. Surgical exploration revealed a gelatinous material involving the popliteal artery. It was excised and evacuated and a segment of greater saphenous vein interposed. Ultrasound examination 12 months later showed graft patency and absence of local recurrence. SN - 0009-4773 UR - https://www.unboundmedicine.com/medline/citation/18389761/Cystic_adventitial_disease_of_the_popliteal_artery__A_case_report_and_review_of_the_literature_ DB - PRIME DP - Unbound Medicine ER -