Surgical Treatment of Cystic Adventitial Disease of the Popliteal Artery: Five Case Reports

Kimihiro Igari,Toshifumi Kudo,Yoshinori Inoue,Takahiro Toyofuku

doi:10.1155/2015/984681

Surgical Treatment of Cystic Adventitial Disease of the Popliteal Artery: Five Case Reports

Kimihiro Igari, Toshifumi Kudo + Show 2 more

Open Access

https://doi.org/10.1155/2015/984681

Copy DOI

Abstract

Cystic adventitial disease (CAD) is a rare cause of intermittent claudication and nonatherosclerotic conditions in middle-aged men without cardiovascular risk factors. The etiology of CAD is unclear; however, the direct communication between a cyst and a joint is presumed to be a cause. We herein report a case series of CAD of the popliteal artery (CADPA), in which patients were treated with surgical resection and vascular reconstruction. Although less invasive treatment modalities, including percutaneous cyst aspiration and percutaneous transluminal angioplasty, have been the subject of recent reports, these treatments have had a higher recurrence rate. Therefore, all of the CAPDA cases in the present series were treated surgically, which lead to good outcomes.

Highlights

Cystic adventitial disease (CAD) is a rare nonatherosclerotic condition in which fluid accumulates subadventitially and compresses the lumen of the arteries and veins
It is thought that CAD mainly affects the popliteal artery, which is located adjacent to the knee joint
We describe the results of our experience in the surgical treatment of CAD of the popliteal artery

Summary

Introduction

Cystic adventitial disease (CAD) is a rare nonatherosclerotic condition in which fluid accumulates subadventitially and compresses the lumen of the arteries and veins. In 80–90% of cases, CAD is located in the popliteal artery, where it may cause intermittent claudication and critical limb ischemia [1, 2]. It is hypothesized that a direct connection in the adventitia between the joint and the affected vessel grows into an abnormal cyst [3]. Due to this hypothesis, it is thought that CAD mainly affects the popliteal artery, which is located adjacent to the knee joint. CAD of the popliteal artery (CADPA) predominantly affects men of the ages of 40–50 years [4]. We describe the results of our experience in the surgical treatment of CAD of the popliteal artery

Case Presentation

Discussion

Findings

Surgical procedure