Adventitial Cystic Disease: Complicated and Uncomplicated

Lezotte, Jonathan; Le, Quynh P.; Shanley, Charles J.; Hans, Sachinder Singh

doi:10.1016/j.avsg.2017.08.037

Cited by 6 publications

(14 citation statements)

References 4 publications

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“…First described by Atkins and Key in 1947, CAD is a rare disorder, comprising 0.1% of vascular diseases. [2][3][4][5] It is characterized by the presence of an adventitial cyst resulting in lower extremity arterial stenosis and subsequent ischemic symptoms. The cysts are composed of an accumulation of mucinous fluid formed by proteoglycans, mucoproteins, mucopolysaccharides, hyaluronic acid, and hydroxyproline.…”

Section: Discussionmentioning

confidence: 99%

“…The cysts are composed of an accumulation of mucinous fluid formed by proteoglycans, mucoproteins, mucopolysaccharides, hyaluronic acid, and hydroxyproline. 2,5,6,8 Ninety percent of cases of CAD are unilateral, with involvement of the popliteal artery. [2][3][4][5][6] Less commonly, the external iliac, femoral, radial, ulnar, brachial, and axillary arteries are implicated.…”

Section: Discussionmentioning

confidence: 99%

“…2,5,6,8 Ninety percent of cases of CAD are unilateral, with involvement of the popliteal artery. [2][3][4][5][6] Less commonly, the external iliac, femoral, radial, ulnar, brachial, and axillary arteries are implicated. 2,3,5 Rare reports exist of CAD affecting veins.…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4][5][6] Less commonly, the external iliac, femoral, radial, ulnar, brachial, and axillary arteries are implicated. 2,3,5 Rare reports exist of CAD affecting veins. 3 Young to middle-aged generally healthy patients, particularly males, are mostly affected.…”

Section: Discussionmentioning

confidence: 99%

“…1 Presentation New-onset intermittent claudication of a lower extremity, with a recovery time longer than that seen in peripheral artery disease. [1][2][3][4][5][6] Insidious onset of lower extremity claudication that is not alleviated immediately with rest; commonly bilateral. 1,7 Examination findings…”

Section: Patient Populationmentioning

confidence: 99%

See 4 more Smart Citations

Cystic adventitial disease of the popliteal artery presenting with features of entrapment syndrome

Smith

Hariri

Oriowo

et al. 2020

Journal of Vascular Surgery Cases, Innovations and Techniques

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Cystic adventitial disease is an uncommon cause of lower extremity claudication resulting from accumulation of mucinous fluid in an arterial subadventitial layer, typically of the popliteal artery. A popliteal bruit and/or reduced distal pulses with knee flexion may be seen on examination. Alternatively, popliteal artery entrapment syndrome triggers claudication via an aberrant arterial pathway or muscular hypertrophy. Decreased distal pressures with plantar or dorsiflexion is a key finding. This report details the case of a middle-aged male with cystic adventitial disease whose diagnosis was complicated by concurrent features of popliteal artery entrapment syndrome. Treatment consisted of venous interposition grafting, which yielded excellent results.

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Section: Discussionmentioning

confidence: 99%