Popliteal Artery Occlusion Secondary to Cystic Adventitial Disease: A Rare Etiology of Lower Extremity Ischemia in a Marathon Runner: A Case Report
A 44-year-old marathon runner was referred with a 2-week history of the sudden onset of severe left calf claudication. Angiography showed a 3- to 4-centimeter focal nearocclusion of the left midpopliteal artery. Magnetic resonance imaging showed a cystic structure in the left popliteal artery wall....
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| Veröffentlicht in: | Vascular and endovascular surgery 1998-11, Vol.32 (6), p.623-626 |
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| container_title | Vascular and endovascular surgery |
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| creator | Wolk, Seth W. Lampman, Richard M. Misare, Bruce D. Erlandson, Errol E. Whitehouse, Walter M. |
| description | A 44-year-old marathon runner was referred with a 2-week history of the sudden onset of severe left calf claudication. Angiography showed a 3- to 4-centimeter focal nearocclusion of the left midpopliteal artery. Magnetic resonance imaging showed a cystic structure in the left popliteal artery wall. A left popliteal artery exploration revealed popliteal artery occlusion secondary to cystic adventitial disease. Excision of the cyst resulted in restoration of pedal pulses. This rare disease of uncertain etiology should be suspected in young adults presenting with ischemia. Various noninvasive techniques in conjunction with arteriography result in reliably diagnosing cystic adventitial disease. Excision of the cyst usually provides adequate treatment. Resection of the diseased arterial segment with autogenous bypass may be required. |
| doi_str_mv | 10.1177/153857449803200614 |
| format | Article |
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Angiography showed a 3- to 4-centimeter focal nearocclusion of the left midpopliteal artery. Magnetic resonance imaging showed a cystic structure in the left popliteal artery wall. A left popliteal artery exploration revealed popliteal artery occlusion secondary to cystic adventitial disease. Excision of the cyst resulted in restoration of pedal pulses. This rare disease of uncertain etiology should be suspected in young adults presenting with ischemia. Various noninvasive techniques in conjunction with arteriography result in reliably diagnosing cystic adventitial disease. Excision of the cyst usually provides adequate treatment. Resection of the diseased arterial segment with autogenous bypass may be required.</description><identifier>ISSN: 0042-2835</identifier><identifier>ISSN: 1538-5744</identifier><identifier>EISSN: 1938-9116</identifier><identifier>DOI: 10.1177/153857449803200614</identifier><identifier>CODEN: VASUA9</identifier><language>eng</language><publisher>Thousand Oaks, CA: SAGE Publications</publisher><subject>Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous ; Medical sciences</subject><ispartof>Vascular and endovascular surgery, 1998-11, Vol.32 (6), p.623-626</ispartof><rights>1999 INIST-CNRS</rights><rights>Copyright Westminster Publications, Inc. 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Angiography showed a 3- to 4-centimeter focal nearocclusion of the left midpopliteal artery. Magnetic resonance imaging showed a cystic structure in the left popliteal artery wall. A left popliteal artery exploration revealed popliteal artery occlusion secondary to cystic adventitial disease. Excision of the cyst resulted in restoration of pedal pulses. This rare disease of uncertain etiology should be suspected in young adults presenting with ischemia. Various noninvasive techniques in conjunction with arteriography result in reliably diagnosing cystic adventitial disease. Excision of the cyst usually provides adequate treatment. Resection of the diseased arterial segment with autogenous bypass may be required.</description><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Diseases of the peripheral vessels. Diseases of the vena cava. 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| ispartof | Vascular and endovascular surgery, 1998-11, Vol.32 (6), p.623-626 |
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| language | eng |
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| source | Access via SAGE; Alma/SFX Local Collection |
| subjects | Biological and medical sciences Blood and lymphatic vessels Cardiology. Vascular system Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Medical sciences |
| title | Popliteal Artery Occlusion Secondary to Cystic Adventitial Disease: A Rare Etiology of Lower Extremity Ischemia in a Marathon Runner: A Case Report |
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