Spontaneous Regression of Cystic Adventitial Disease of the Popliteal Artery: A Case Report

Nemoto, Masaru; Hosaka, Akihiro

doi:10.1016/j.avsg.2019.06.023

Cited by 8 publications

(8 citation statements)

References 10 publications

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“…Spontaneous symptoms or cyst regression are rare, with only 9 previous reported cases in the literature. 9 …”

Section: Discussionmentioning

confidence: 99%

“…Spontaneous symptoms or cyst regression are rare, with only 9 previous reported cases in the literature. 9 This unusual outcome suggests that conservative medical treatment and walking rehabilitation should be done as a first recourse, especially in closely monitored cases with few or no significant symptoms. Such a conservative method may require long-term follow-up because recurrence of symptoms and/or adventitial cyst reaccumulation can occur as long as joint connections persist.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Cystic adventitial disease of the popliteal artery with unusual spontaneous regression: A case report with literature review

Affes

Chaabouni

Attia

et al. 2022

Clinical Case Reports

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“…Spontaneous symptoms or cyst regression are rare, with only 9 previous reported cases in the literature. 9 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Cystic adventitial disease of the popliteal artery with unusual spontaneous regression: A case report with literature review

Affes

Chaabouni

Attia

et al. 2022

Clinical Case Reports

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“…That is why we originally opted for cyst excision and bypass, as it is the most favorable option within the current literature. Spontaneous regression of CAD of the popliteal artery has been previously reported in 9 cases [5][6][7][8][9][10][11][12], with some claiming permanent resolution of the disease after 10 years of follow-up [8], while others had recurrence of symptoms with the eventual need for a more definitive treatment [13].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Resolution of Cystic Adventitial Disease of the Popliteal Artery

Ibrahim

Nabhani

Feghaly

et al. 2021

Case Reports in Vascular Medicine

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Spontaneous resolution of cystic adventitial disease (CAD) is rare with occasional reports in the literature. In this case report, we are describing a 30-year-old man who presented with rapid onset of severe intermittent claudication and was diagnosed with CAD. Resection of the lesion with autologous vein replacement was scheduled. However, the claudication suddenly improved at 4 weeks after onset. Ultrasonography and computed tomography revealed regression of the cystic lesions with resolution of the popliteal artery stenosis. His symptoms did not recur during the 12-month follow-up period. Although it is unclear whether this resolution is permanent, in this report, we describe our experience with a case of CAD that eventually spontaneously regressed and the possibility of conservative treatment.

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“…We believe that surgical treatment, including cystic adventitial disease resection, followed by a popliteal bypass reconstruction with autologous saphenous vein graft, is the best treatment with a low recurrence rate and complications, 6 and that this surgical option may lead to better results in cases with arterial occlusion. 6 , 9 …”

Section: Discussionmentioning

confidence: 99%

Cystic adventitial disease of the popliteal artery

Belmir

Tijani

Khloufi

et al. 2020

Journal of Vascular Surgery Cases, Innovations and Techniques

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A 47-year-old man was admitted for progressively worsening calf cramp in the right leg while walking. No risk factors for vascular disease were identified, apart from some degree of hypercholesterolemia. He had no history of trauma in the right leg, and he participated in regular physical activity. The ankle-brachial index was 0.6 on the right side and 1.0 on the left side. On examination, no popliteal and distal arterial pulses were present in the right leg, whereas this arterial pulses were present in the left leg. Duplex ultrasound examination and computed tomography scans performed 3 months after the onset of symptoms revealed a multilocular cystic formation within the right popliteal artery wall, determining a severe luminal stenosis. Therefore, a diagnosis of cystic adventitial disease was confirmed (A). In this case, a subsequent conventional angiography revealed a concentric compression of the popliteal artery by the cyst, with the characteristic hour glass sign (B). The therapeutic approach was surgical first. The patient was placed in a supine position and the great saphenous vein was removed from the right leg via internal access. Second, the patient was placed prone, and a posterior approach was realized through an incision in the popliteal fossa. A multilocular cyst was identified (C) and resected, followed by a popliteal bypass reconstruction with autologous great saphenous vein. Clinical follow-up was free of symptoms. He remains asymptomatic with normal peripheral pulses 0.3 years after surgery, with an ankle-brachial index of 0.9. Histopathology showed a multilocular cystic adventitial disease interesting the popliteal artery wall (D). This cyst was located between the media and adventitia of the artery. and contained gelatinous material. The patient (Mr M.B) agree to publish his case details and images, in all editions of the Journal of Vascular Surgery Publications and in any other publication, as well as in any advertising or promotional material for such product or publications. DISCUSSION Cystic adventitial disease is encountered predominantly in men, with an average male:female ratio of 15:1 and an incidence of 1:1200 in patients with claudication. 1 The etiology of cystic adventitial disease remains controversial. Four theories are proposed: degenerative, traumatic, synovial, and developmental. The adventitial cyst becomes incorporated into the vascular wall and its growth causes compression of the lumen. These cysts contain myxoid material rich in hyaluronic acid. 2 In our case, the diagnosis was confirmed using Doppler ultrasound examination and computed tomography imaging; other pathologies were excluded, such as popliteal aneurysms and extrinsic compression from Baker's cysts, 3,4 false aneurysms, and

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Spontaneous Regression of Cystic Adventitial Disease of the Popliteal Artery: A Case Report

Cited by 8 publications

References 10 publications

Cystic adventitial disease of the popliteal artery with unusual spontaneous regression: A case report with literature review

Cystic adventitial disease of the popliteal artery with unusual spontaneous regression: A case report with literature review

Spontaneous Resolution of Cystic Adventitial Disease of the Popliteal Artery

Cystic adventitial disease of the popliteal artery

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