Recurrent cystic adventitial disease of the iliofemoral artery.
We present the case of a 39-year-old man with recurrence of intermittent claudication 4 years after successful Dacron patch repair of the right common femoral artery for cystic adventitial disease. Magnetic resonance angiography results were inconclusive, while conventional angiography demonstrated 90% stenosis of the right common femoral artery. The patient underwent excision and replacement of the affected artery with PTFE and was asymptomatic at 6-month follow-up. In recurrent cystic adventitial disease, excision and replacement of the affected artery with a prosthetic interposition graft provides a successful outcome with minimal chance of recurrence.
Rehman
Syed
S
Department of Vascular Surgery, Imperial College Healthcare NHS Trust, St. Mary's Hospital, London, England. syed.rehman01@imperial.ac.uk
Hancock
Louise
L
Wolfe
John
J
D000328:Adult; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D003238:Connective Tissue / Q000473:pathology; D003251:Constriction, Pathologic; D003560:Cysts / Q000150:complications / Q000473:pathology / Q000601:surgery*; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D007383:Intermittent Claudication / Q000209:etiology / Q000601:surgery; D018810:Magnetic Resonance Angiography; D008297:Male; D011138:Polytetrafluoroethylene; D011474:Prosthesis Design; D012008:Recurrence; D012086:Reoperation; D016896:Treatment Outcome
D011138:Polytetrafluoroethylene