Related Experiment Videos
Adventitial cystic disease in the common femoral artery
S Carlsson1, J Sandermann, N Hansborg
1Vascular Surgery Unit, Kolding Hospital, Denmark. steen-carlsson@get2net.dk
Insights
Adventitial cystic disease causing leg claudication was successfully treated with bypass surgery. The patient regained foot pulses after treatment for common femoral artery cysts.
Area of Science:
- Vascular Surgery
- Arterial Diseases
- Medical Case Reports
Background:
- Adventitial cystic disease (ACD) is a rare, non-atherosclerotic condition causing arterial stenosis or occlusion.
- Massive cysts in the common femoral artery can lead to significant lower limb ischemia, presenting as claudication.
- This case highlights a rare presentation of ACD affecting the common femoral artery.
Observation:
- A 49-year-old male presented with calf and thigh claudication due to ACD.
- Angiography revealed occlusion of the common femoral artery and deep femoral artery.
- Intraoperative findings confirmed the presence of extensive cysts within the arterial adventitia.
Findings:
- Surgical intervention involved clearing the deep artery and performing an extra-polytetrafluoroethylene (ePTFE) bypass graft.
- The bypass connected to the two femoral runoff vessels.
- Postoperative recovery was uneventful.
Implications:
- Successful surgical management of adventitial cystic disease in the common femoral artery can restore arterial patency.
- Bypass grafting is an effective treatment option for complex cases of femoral artery ACD.
- Restoration of blood flow led to the resolution of ischemic symptoms and palpable foot pulses.
Abstract:
The rare condition of adventitial cystic disease with massive cysts in the common femoral artery was treated in a 49-year old man. The symptoms were calf and thigh claudication. Angiography showed occlusion of the common femoral artery and the deep femoral artery. The condition was obvious peroperatively, and after clearing the deep artery, a bypass (ePTFE) to the two femoral run off vessels was needed. After an uneventful postoperative period, it was observed at three months' follow-up, that the patient had foot pulses.