Cystic adventitial degeneration, which is generally localized in the popliteal artery, leads to a dynamic, exercise-dependent flow inhibition. The cysts of the adventitia, which increase in size with exercise, cause an increasing degree of stenosis which can be completely reversed after a longer period if rest. Angio graphic presentation may therefore be misleading. Functional examination with Doppler sonography is able to identify the obstruction in such cases. Resection of the involved vessel and restoration of flow by interposition of a vein graft is the therapy of first choice.
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References
1.
Atkins Hjb and Key JA: A case of myxomatous tumor arising in the adventitia of the left external iliac artery. Brit J Surg34: 426, 1946.
2.
Baar R. and Endsberger G.: Die zystische Adventitiadegeneration der Arteria poplitea. Chirurg55: 534, 1984.
3.
Bollinger A. and Pouliadis G.: Pathologie, Klinik, Radiologie und Chirurgie der zystischen Adventitiadegeneration peripherer Blutgefäße. Vasa6: 100, 1977.
4.
Brunner U. and Soyka P.: Chirurgische Gesichtspunkte der arteriellen Aadventitiazysten. Vasa6: 105, 1977.
5.
Ehringer H., Denck H., Wuketich and Brunner E.: Intermittierender Verschluß der Arteria poplitea durch zystische dventitiadegeneration. Dtsch Med Wschft94: 2107, 1969.
6.
Ejrup E. and Hiertonn T.: Intermittent Claudication. Three cases treated by free vein graft. Act Chir Scand108: 217, 1954.
7.
Flangian DP, Burham SJ, Goodreau JJ and Bergan JJ: Summary of cases of adventitial cystic diseases of the popliteal artery. Ann Surg189: 165, 1979.
8.
Leu HJ: Zur Pathogenese und Histologie der zystischen Adventitia Degeneration. Vasa6: 94, 1977.
9.
Shute K. and Rothnie NG: The Etiology of cystic arterial disease. Brit J Surg60: 397, 1973.
10.
Sperling MH , Schott and Rupell: Die zystische Adventitiadegeneration der Blutgefäße. Chirurg43: 37, 1972.
