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Recurrent cystic adventitial disease of the iliofemoral artery

Syed Rehman1, Louise Hancock, John Wolfe

  • 1Department of Vascular Surgery, Imperial College Healthcare NHS Trust, St. Mary's Hospital, London, England. syed.rehman01@imperial.ac.uk

Annals of Vascular Surgery
|December 29, 2009
PubMed

Insights

Recurrent cystic adventitial disease in the common femoral artery can be successfully treated with PTFE graft replacement. This surgical approach offers a durable solution for intermittent claudication, minimizing recurrence risk.

Area of Science:

  • Vascular Surgery
  • Medical Case Reports

Background:

  • Cystic adventitial disease (CAD) is a rare, non-atherosclerotic condition causing arterial stenosis.
  • Recurrence of CAD after initial repair can lead to persistent or new symptoms like intermittent claudication.

Observation:

  • A 39-year-old male presented with recurrent intermittent claudication 4 years post-Dacron patch repair of the right common femoral artery due to CAD.
  • Initial magnetic resonance angiography was inconclusive; conventional angiography revealed 90% stenosis of the affected artery.

Findings:

  • Surgical intervention involved excision and replacement of the stenotic segment with a polytetrafluoroethylene (PTFE) interposition graft.
  • The patient remained asymptomatic at 6-month follow-up, indicating successful treatment.

Implications:

  • Excision and prosthetic graft replacement is an effective treatment for recurrent common femoral artery cystic adventitial disease.
  • This method provides a durable solution with a low probability of re-recurrence, restoring arterial patency and alleviating symptoms.

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