Cystic adventitial disease of the popliteal artery--a case of young boy.
Cystic adventitial disease (CAD) of the popliteal artery (PA) is rare but one of the well-recognized causes of intermittent claudication. Now more than 200 case reports are available in the world, but there are only 6 cases younger than 15 years old. In this paper, we report a case of 14-year-old boy with CAD of the PA found by intermittent claudication. On examination, the pulses were not palpable below the right popliteal artery, and the angiography demonstrated about 1.5 cm-long obstruction of the right PA. We operated a resection of a cyst with artery, and replaced the autovein graft (V. saphena magna). Cyst contained mucoid degeneration-like ganglion. Two weeks after operation, the angiography showed no stenotic lesion, and follow-up at 4 years showed no symptoms.
Ishibashi
S
S
Department of Surgery, Furukawa City Hospital, Japan.
Namiki
K
K
Abe
M
M
Shirahata
Y
Y
Ohnishi
K
K
Toyoda
T
T
Ohuchi
K
K
D000293:Adolescent; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000175:diagnosis*; D003560:Cysts / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D007383:Intermittent Claudication / Q000209:etiology*; D008297:Male; D011150:Popliteal Artery / Q000473:pathology*