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Cystic Adventitial Disease in Former Athlete
Nikola Fatic1, Aleksandar Nikolic1, Dejan Maras1
1Clinical Centre of Montenegro, University of Montenegro, Podgorica, Montenegro.
Open Access Macedonian Journal of Medical Sciences
|June 9, 2016
Summary
Cystic adventitial disease can cause leg pain mimicking intermittent claudication in athletes. Surgical repair with a saphenous vein graft offers excellent outcomes for popliteal artery obstruction.
Area of Science:
- Vascular Surgery
- Medical Diagnostics
- Radiology
Background:
- Intermittent claudication is a common symptom of peripheral artery disease.
- Cystic adventitial disease (CAD) is a rare, non-atherosclerotic condition affecting arteries, often the popliteal artery.
Observation:
- A 39-year-old former athlete presented with leg pain during walking, suggestive of intermittent claudication.
- Vascular imaging revealed a 75% stenosis of the right popliteal artery due to mural thrombus.
- Surgical exploration identified cystic material within the artery's adventitia, confirming CAD.
Findings:
- The patient underwent surgical treatment involving partial resection of the affected popliteal artery.
- The resected segment was replaced with an autogenous great saphenous vein graft.
- Postoperative recovery was uncomplicated, with the patient discharged on the seventh day.
Implications:
- Cystic adventitial disease of the popliteal artery is a crucial differential diagnosis for intermittent claudication, particularly in active individuals and former athletes.
- Popliteal artery CAD can be effectively managed with surgical intervention, including arterial resection and autogenous vein grafting.
- This approach yields excellent functional results and symptom relief for patients with this rare condition.
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