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

ANZ Journal of Surgery
|January 10, 2006
PubMed

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.