Interposition grafting of popliteal artery cystic adventitial disease: case report.
Cystic adventitial disease of the popliteal artery is a rare cause of leg claudication occurring primarily in young adults. We report a case of a 41-year-old athletic man who presented with rapidly progressive left leg claudication. Using duplex ultrasound and magnetic resonance angiography, a diagnosis of popliteal artery cystic adventitial disease was made. The cystic popliteal artery was resected and replaced using a prosthetic interposition graft. At the 1.5-year follow-up, the cysts have recurred; however, the related symptoms have not. This is in contrast to a previously reported case of interposition saphenous vein grafting requiring resection due to invasion by recurrent cysts within 6 months.
Patel
Sejal M
SM
Department of Surgery, Division of Vascular Surgery, Lenox Hill Hospital, New York, New York 10065, USA. daespee@aol.com
Patil
Vivek A
VA
Pamoukian
Vicken N
VN
D000328:Adult; D019917:Blood Vessel Prosthesis Implantation; D003560:Cysts / Q000150:complications / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007383:Intermittent Claudication / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D018810:Magnetic Resonance Angiography; D008297:Male; D016491:Peripheral Vascular Diseases / Q000150:complications / Q000473:pathology / Q000601:surgery*; D011150:Popliteal Artery / Q000473:pathology / Q000601:surgery*; D012008:Recurrence; D016896:Treatment Outcome