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Popliteal cystic adventitial disease: a case report and literature review

C N Parnaby1, A Kent, B Wolf

  • 1Vascular Department, Raigmore Hospital, Old Perth Road, Inverness IV2 3UJ, Scotland, UK. craigparnaby@aol.com

Scottish Medical Journal
|November 18, 2011
PubMed

Insights

Cystic adventitial disease, a rare condition affecting arteries like the popliteal artery, requires accurate diagnosis. Surgical repair, such as vein grafting, can effectively manage symptoms of lower limb ischemia.

Area of Science:

  • Vascular Surgery
  • Rare Diseases
  • Arterial Pathology

Background:

  • Cystic adventitial disease (CAD) is an uncommon condition characterized by the accumulation of mucinous material within the adventitia of arteries.
  • The popliteal artery is the most frequently involved vessel, often affecting young male patients.
  • CAD typically presents with symptoms of lower limb ischemia due to arterial stenosis or occlusion.

Observation:

  • This report details a case of a 39-year-old male diagnosed with cystic adventitial disease of the popliteal artery.
  • The patient presented with ischemic symptoms in the lower limb, prompting investigation and diagnosis.
  • Imaging and subsequent surgical findings confirmed the presence of cystic adventitial disease.

Findings:

  • The affected segment of the popliteal artery was surgically resected.
  • An interposition vein graft was utilized to reconstruct the arterial segment.
  • The surgical intervention aimed to restore blood flow and alleviate ischemic symptoms.

Implications:

  • Accurate and timely diagnosis of cystic adventitial disease is crucial for effective patient management.
  • Surgical intervention, including resection and reconstruction with grafts, represents a viable treatment strategy.
  • Understanding the pathophysiology and clinical presentation of CAD aids in optimizing treatment outcomes for affected individuals.

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