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Published on: March 31, 2023
Cystic adventitial disease: a case report and literature review
Arvind Vasudevan1, Moshe Halak, Steven Lee
1Department of Vascular Surgery, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia. Arvind_Vasudevan@yahoo.com.au
Insights
Cystic adventitial disease (CAD) is a rare cause of peripheral vascular disease. This case study highlights catheter angiography as the diagnostic choice and surgical excision with bypass grafting as the effective treatment for CAD.
Area of Science:
- Vascular Surgery
- Medical Case Reports
Background:
- Cystic adventitial disease (CAD) is an uncommon, non-atherosclerotic condition affecting peripheral arteries.
- It can lead to significant peripheral vascular disease (PVD) symptoms, such as claudication.
Observation:
- A 54-year-old male presented with calf claudication.
- Catheter angiography revealed characteristic scallop-like narrowing, indicative of CAD.
Findings:
- Surgical intervention involved the resection of the affected arterial segment.
- A femoral popliteal venous bypass graft was successfully used for reconstruction.
Implications:
- Catheter angiography is confirmed as the primary diagnostic tool for CAD.
- Surgical excision and bypass grafting represent a viable and effective treatment strategy for managing CAD.
- Understanding CAD pathogenesis is crucial for improving patient outcomes in PVD management.
Abstract:
Cystic adventitial disease (CAD) is a rare non-atherosclerotic cause of peripheral vascular disease (PVD). We describe a 54-year-old man who presented with calf claudication and catheter angiography showed the typical scallop appearances of CAD. Surgery involved resection of the diseased segment with a femoral popliteal venous bypass graft. A literature review revealed the different theories for pathogenesis, the investigation of choice being catheter angiography and the treatment excision with bypass grafting.
