Cystic Adventitial Disease of the Popliteal Artery: Radical Surgical Treatment After Several Failed Approaches. A Case Report and Review of the Literature

Cystic Adventitial Disease of the Popliteal Artery: Radical Surgical Treatment After Several Failed Approaches. A Case Report and Review of the Literature

Adventitial cystic disease is a rare nonatheromatous cause of popliteal artery disease. We report the case of a 49-year-old male patient who presented with left calf claudication caused by adventitial cystic disease. Popliteal artery resection followed by autologous vein graft interposition and Perc...

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Veröffentlicht in:Annals of vascular surgery 2020-04, Vol.64, p.411.e5-411.e11
Hauptverfasser: Vento, Vincenzo, Faggioli, Gianluca, Ancetti, Stefano, Sonetto, Alessia, Dieng, Mortalla, Mirelli, Michele, Gargiulo, Mauro
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container_end_page 411.e11
container_issue
container_start_page 411.e5
container_title Annals of vascular surgery
container_volume 64
creator Vento, Vincenzo
Faggioli, Gianluca
Ancetti, Stefano
Sonetto, Alessia
Dieng, Mortalla
Mirelli, Michele
Gargiulo, Mauro
description Adventitial cystic disease is a rare nonatheromatous cause of popliteal artery disease. We report the case of a 49-year-old male patient who presented with left calf claudication caused by adventitial cystic disease. Popliteal artery resection followed by autologous vein graft interposition and Percutaneous Transluminal Angioplasty (PTA) stenting led to recurrence. The patient was finally successfully treated by bypass with autologous vein. No postoperative complications occurred, and patency was preserved at 33-month follow-up. Several different treatment options are possible; however, a primary radical surgical treatment with extra-anatomical medial bypass with autologous vein seems preferable.
doi_str_mv 10.1016/j.avsg.2019.10.046
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title Cystic Adventitial Disease of the Popliteal Artery: Radical Surgical Treatment After Several Failed Approaches. A Case Report and Review of the Literature
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