Lower extremity claudication most commonly results from atherosclerotic disease. Cystic adventitial disease of the popliteal artery is a rare entity that also manifests with symptoms of claudication. The disease usually occurs in otherwise healthy men without cardiovascular risk factors for atherosclerosis. Extrinsic compression of the arterial lumen leads to arterial insufficiency in these patients. A fairly typical case of cystic adventitial disease of the popliteal artery is reported and a review of the literature is presented.
Get full access to this article
View all access options for this article.
References
1.
1. Flanigan DP, Burnham SJ, Goodreau JJ, et al: Summary of cases of adventitial cystic disease of the popliteal artery. Ann Surg189:165-175, 1979.
2.
2. Bergan J: Adventitial cystic disease of the popliteal artery. In: Vascular Surgery, ed. 4, ed. by Rutherford R. Philadelphia: WB Saunders, 1995, pp 883-888.
3.
3. Terry J, Schenken J, Lohff M, et al: Cystic adventitial disease. Hum Pathol12:639-643, 1981.
4.
4. Simpson CJ, Gillespie: Cystic degeneration of the popliteal artery in a female patient. Case report. Scott Med J31:187-188, 1986.
5.
5. Lewis GJT, Douglas DM, Reid W, et al: Cystic adventitial disease of the popliteal artery. Br Med J3:411-411, 1967.
6.
6. Chapman T, Pinkerton J: Cystic adventitial disease of the popliteal artery. South Med J77:370-371, 1984.
7.
7. Devereux D, Forrest H, McLeod T. et al: The nonarterial origin of cystic adventitial disease of the popliteal artery in two patients. Surgery00:723-727, 1986.
8.
8. Lassonde J, Laurendeau F: Cystic adventitial disease of the popliteal artery. Clinical aspects and etiology. Am Surg48:341-343, 1982.
10. Eastcott HHG: Cystic myxomatous degeneration of the popliteal artery. Br Med J2:1270-1270, 1963.
11.
11. Sipponen J, Lepantalo M, Kyosola K, et al: Popliteal artery entrapment. Ann Chir Gynaecol78:103-109, 1989.
12.
12. Crolla RMPH, Steyling JF, Hennipman A, et al: A case of cystic adventitial disease of the popliteal artery demonstrated by magnetic resonance imaging. J Vasc Surg18:1052-1055, 1993.
13.
13. Fitzjohn P, White FE, Loose HW, et al: Computer tomography and sonography of cystic adventitial disease. Br J Radiol59:933-935, 1986.
14.
14. Koppensteiner R, Katzenschlager R, Ahmadi A, et al: Demonstration of cystic adventitial disease by intravascular ultrasound imaging. J Vasc Surg23:534-536, 1996.
15.
15. Sieunarine K, Lawerence-Brown MM, Kesley P: Adventitial cystic disease of the popliteal artery: Early recurrence after CT guided percutaneous aspiration. J Cardiovasc Surg32:702-704, 1991.
16.
16. Takashi O, Ryohei K, Ikuo S, et al: Recurrence of cystic adventitial disease in an interposed vein graft. Surgery116:587-592, 1994.
17.
17. Samson R, Willis P: Popliteal artery occlusion caused by cystic adventitial disease: Successful treatment by urokinase followed by nonresectional cystotomy. J Vasc Surg12:591-593, 1990.
18.
18. Fox RL, Kahn M, Alder J: Adventitial cystic disease of the popliteal artery: Failure of percutaneous transluminal angioplasty. J Vasc Surg2:464-464, 1985.