Doença cística da artéria poplítea: relato de caso

Albernaz, Daiane Taís Schlindwein; Albernaz, Luiz Fernando Lima; Eggers, Eduardo Estevão

doi:10.1590/s1677-54492010000300013

Cited by 3 publications

(2 citation statements)

References 17 publications

(19 reference statements)

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“…The condition's clinical presentation varies depending on the territory involved. [9][10][11][12] In arteries, it may manifest clinically with ischemia of a limb or pain caused by localized compression. 13 In veins, it manifests as local pain or venous thrombosis.…”

Section: Discussionmentioning

confidence: 99%

Doença cística da adventícia na veia basílica: relato de caso

et al. 2016

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ResumoA doença cística da adventícia é uma entidade rara que acomete principalmente a artéria poplítea. A ocorrência em veias é muito rara, e sua etiologia é desconhecida. Clinicamente, apresenta-se como isquemia, trombose ou dor a depender do território acometido. Apresentamos o caso de um paciente masculino jovem referindo nódulo no braço esquerdo. A angiorressonância magnética do membro mostrou lesão cística em contato com a veia basílica, com conteúdo homogêneo e sem realce pós-contraste. Foi realizada ressecção da lesão em bloco com o segmento venoso envolvido. O estudo anatomopatológico foi sugestivo de cisto de adventícia de veia basílica.

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Section: Discussionmentioning

confidence: 99%

Doença cística da adventícia na veia basílica: relato de caso

et al. 2016

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“…The cysts, which have a gelatinous, viscous content, may compress and distort the adventitia and tunica media, Increased pressure within the cysts can also cause stenosis and occlusion of the affected artery. It is also known as cystic degeneration of adventitia 1 , cystic disease of the adventitia 2,3 , adventitia colloid cyst 4 , mucinous cystic disease 5 , adventitial cyst of the popliteal artery 6,7 , and other designations [8][9][10] . Both cystic degeneration of the adventitia and adventitial cyst disease are restricted designations, for they do not encompass all cases, because cysts may be located on the outer layers of the media 4 .…”

Section: Discussionmentioning

confidence: 99%

Isquemia crítica em membro inferior em paciente jovem com doença cística de artéria poplítea

et al. 2012

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The patient is a 45-year-old male physician, non-diabetic, non hypertensive, non-smoker and athlete, who was admitted to the Emergency Room complaining of severe pain on the left lower limb for 4 hours, decreased temperature, absence of left popliteal and distal pulse, accompanied by decreased sensitivity in the left foot, but with the motor function preserved. The patient reported bilateral calf intermittent claudication that had began one year earlier and had worsened to approximately 120 m in the last days.Ankle-brachial index (ABI) measurements showed an, ABI=0.40 at the left and ABI=0.85 at the right lower limb. Color Doppler ultrasound showed a thrombosed left popliteal artery aneurysm and approximately 50% stenosis of the right popliteal artery (Figures 1 and 2). The physician performing the examination raised the suspicion AbstractCystic adventitial disease of the popliteal artery is a rare vascular disease of unknown etiology in which a mucin-containing cyst may compromise the artery and, because of the compression, develops stenosis or occlusion of affected artery. We report the case of a 45-year-old male with cystic adventitial disease of the left popliteal artery, after admission for an acute limb ischemia in his left leg, diagnosed non-invasively with EcoDoppler vascular dual scan, magnetic resonance angiography, angiography. Performed complete removal of the cyst with arteriectomy and venous replacement. The pathologic result ware consistent with the diagnostic of cystic adventitial disease. The patient is in ambulatory follow up and was affected by cystic disease in the contralateral limb. The authors described the best methods of diagnosis and treatment for cystic adventitial disease, discussing if the urgency procedure was the most appropriate and whether there was an alternative treatment for the case. Finally, questioning what would be the best procedure to be performed in the other limb.Keywords: intermittent claudication; cyst; popliteal artery. ResumoDegeneração cística da artéria poplítea é uma doença vascular rara, de etiologia desconhecida, na qual um cisto com conteúdo mucinoide compromete a artéria e desenvolve estenose ou oclusão do vaso. Apresentamos um caso de um paciente do sexo masculino, 45 anos, admitido na emergência hospitalar, que apresentava quadro de isquemia aguda no membro inferior esquerdo. Submetido à EcoDoppler, angiorressonância magnética e angiografia pré-operatória. Realizada arterectomia com enxerto fêmoro-poplíteo infrainguinal de safena invertida. O exame patológico foi consistente com o diagnóstico de doença cística da artéria poplítea. O paciente encontra-se em acompanhamento ambulatorial e foi acometido pela doença cística no membro contralateral. Os autores descreveram os melhores métodos de diagnóstico e tratamento para a doença, discutindo se o procedimento de urgência foi o mais adequado e se haveria opções terapêuticas alternativas para o caso, além de qual seria a melhor conduta a ser realizada no membro contralateral também acometido pela doença.Palavra...

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Evidence to support that adventitial cysts, analogous to intraneural ganglion cysts, are also joint‐connected

et al. 2012

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Cystic adventitial disease (CAD) is a rare condition in which cyst is found within a vessel, typically producing symptoms of vascular compromise. Most commonly located in the popliteal artery near the knee, it has been reported in arteries and veins throughout the body. Its pathogenesis has been poorly understood and various surgical approaches have been recommended. We extrapolated some recent information about a similar condition, intraneural ganglion cyst affecting the deep fibular (peroneal) nerve, to the prototype, CAD of the popliteal artery. In intraneural ganglion cysts affecting the deep fibular nerve we have shown that an articular (neural) branch is the conduit between the superior tibiofibular joint and the main parent nerve for which epineurial dissection of joint fluid can occur. We hypothesized that the same principles would apply to CAD and that an articular (vascular) branch would be the conduit from the knee joint leading to dissection to the main parent vessel. We reviewed five patients with CAD of the popliteal artery in whom MRIs were available: two treated by the primary author well familiar with the proposed articular theory, and three treated by others at our institution, less familiar with it. We then reviewed the literature critically to assess for additional evidence to support our articular (synovial) theory and an anatomic explanation. In the two cases treated by the primary author a joint connection was identified on high resolution MRI prospectively and intraoperatively through the middle genicular artery (MGA); postoperatively in these cases there was no recurrence. In the other three cases, a joint connection was not identified on imaging or at operation. Reinterpretation of these cases revealed a joint connection through the MGA in the one patient who had preoperative imaging and subclinical persistence/recurrence in the two patients who underwent postoperative MRIs done for other reasons. Our review of the literature and imaging studies revealed unrecognized joint connections in CAD to the knee and other joints as well as evidence that the MGA is the conduit in cases of CAD of the popliteal artery. We believe that adventitial cysts originate in neighboring joints and dissect within articular (vascular) branches. In our opinion, the unifying articular theory and the principles introduced for intraneural ganglion cysts apply equally to common and rare sites of adventitial cysts.

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Doença cística da artéria poplítea: relato de caso

Cited by 3 publications

References 17 publications

Doença cística da adventícia na veia basílica: relato de caso

Doença cística da adventícia na veia basílica: relato de caso

Isquemia crítica em membro inferior em paciente jovem com doença cística de artéria poplítea

Evidence to support that adventitial cysts, analogous to intraneural ganglion cysts, are also joint‐connected

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