Abstract
We report on a case of severe cystic adventitial disease involving the popliteal artery in a man aged 42, who in 2009 underwent surgical resection of the cyst and the tract of the involved artery. The arterial reconstruction was then performed with an autogenous graft, using a reversed small saphenous vein interposition. The surgical specimen was histologically examined. The postoperative course was uneventful, and the patient was discharged on the 8th day. Currently, on an 11-year long clinical follow-up, the patient is healthy, and the graft is patent. A pictorial essay of the clinical and pathological findings of the case is presented, along with a brief discussion covering the main issues relevant to the disease manifestations and diagnosis, clinical differential diagnoses, and the treatment options. The pertinent world literature has been reviewed as well.
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Notes
Updated computerized bibliographic search by the present authors, based on PubMed data base.
Unpublished results from the updated literature review by the present authors.
References
Desy NM, Spinner RJ (2014) The etiology and management of cystic adventitial disease. J Vasc Surg 60:235–245
Lejay A, Ohana M, Delay C, Georg Y, Girsowicz E, Thaveau F, Scholey JW, Geny B, Chakfe N (2016) Cystic adventitial pathology as an entity in peripheral arterial disease. J Cardiovasc Surg (Torino) 57:282–291
Motaganahalli RL, Smeds MR, Harlander-Locke MP, Lawrence PF, Fujimura N, DeMartino RR et al (2017) A multi-institutional experience in adventitial cystic disease. J Vasc Surg 65:157–161
Bascone C, Iqbal M, Narh-Martey P, Szuchmacher M, Cicchillo M, Krishnasastry KV (2016) Venous adventitial cystic disease: a review of 45 cases treated since 1963. Int J Vasc Med. https://doi.org/10.1155/2016/5287697
Min SK, Han A, Min S, Park YJ (2020) Inconsistent use of terminology and different treatment outcomes of venous adventitial cystic disease: a proposal for reporting standards. Vasc Specialist Int 36:57–65
Ishikawa L, Mishima Y, Kobayashi S (1961) Cystic adventitial disease of the popliteal artery. Angiology 2:357–366
Wright LB, Matchett WJ, Cruz CP, James CA, Culp WC, Eidt JF, McCowan TC (2004) Popliteal artery disease: diagnosis and treatment. Radiographics 24:467–479
Lim JH, Chung BH, Kang JH, Heo SH, Kim DI, Kim YW, Park YJ (2019) Surgical strategy to reduce the recurrence of adventitial cystic disease after treatment. Vasc Specialist Int 35:217–224
Acknowledgements
This case was presented as a Poster at the 5th National Congress of the Italian Anatomic Pathology Society, held in Bologna, Italy, 21–25 September 2010, and was published in Abstract form in the proceedings of the Congress (Pathologica 2010;102:274-275).
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Colacchio, E.C., Ferrante, A.M.R., Bisceglia, M. et al. Cystic adventitial disease of the popliteal artery—a pictorial, clinical, and pathological study of a case. Indian J Surg 85 (Suppl 1), 210–213 (2023). https://doi.org/10.1007/s12262-021-02978-w
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DOI: https://doi.org/10.1007/s12262-021-02978-w