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. 2015:2015:984681.
doi: 10.1155/2015/984681. Epub 2015 Aug 3.

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

Kimihiro Igari  1 , Toshifumi Kudo  1 , Takahiro Toyofuku  1 , Yoshinori Inoue  1
Affiliations

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

Kimihiro Igari et al. Case Rep Vasc Med. 2015.

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.

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Figures

Figure 1
Figure 1
Intraoperative findings show (a) the controlled affected popliteal artery (white arrow) and (b) the resection being performed with an interposition graft (white arrow). The patient's head was to the right.
Figure 2
Figure 2
Computed tomography shows (a) the occlusion of the left popliteal artery (white arrow) and (b) a cystic mass compressing the popliteal artery (white arrow).
Figure 3
Figure 3
A resected specimen showing the popliteal artery with an adventitial cyst.
Figure 4
Figure 4
Intraoperative findings showing (a) the controlled left popliteal artery (white arrow) and (b) the performance of resection with graft interposition (white arrow). The patient's head was to the right.
Figure 5
Figure 5
Computed tomography shows (a) the occlusion of the left popliteal artery (white arrow) and (b) a cystic mass compressing the popliteal artery (white arrow).
See this image and copyright information in PMC

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