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Adventitial cystic disease of common femoral artery

J Gagnon1, D L Doyle

  • 1Department of Surgery, Vancouver General Hospital, Vancouver, Canada. joel.gagnon.1@ulaval.ca

Annals of Vascular Surgery
|March 14, 2007
PubMed

Insights

Adventitial cystic disease (ACD) is a rare cause of arterial ischemia, typically affecting the popliteal artery. This report details a unique case of femoral artery ACD in a young patient, successfully treated surgically.

Area of Science:

  • Vascular Surgery
  • Medical Imaging
  • Arterial Diseases

Background:

  • Adventitial cystic disease (ACD) is an uncommon condition causing arterial ischemia.
  • The popliteal artery is the most frequent site for ACD.
  • Over 49 extrapopliteal locations have been documented.

Observation:

  • A case of femoral artery ACD in a young patient presenting with claudication is described.
  • Diagnosis was achieved using duplex ultrasound and confirmed by computed tomographic angiogram.
  • The patient underwent surgical intervention for the condition.

Findings:

  • Surgical treatment resulted in complete resolution of claudication.
  • The patient remained active and symptom-free one year post-operation.
  • This represents the first reported instance of extrapopliteal artery ACD in Canada.

Implications:

  • Highlights the potential for ACD in extrapopliteal arteries, specifically the femoral artery.
  • Emphasizes the diagnostic utility of duplex ultrasound and CT angiography for ACD.
  • Demonstrates the efficacy of surgical management for femoral artery ACD.

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