A case of myxomatous tumour arising in the adventitia of the left external iliac artery

Atkins, Hedley; Key, J. Albert

doi:10.1002/bjs.18003413618

Cited by 199 publications

(98 citation statements)

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“…CAAD was first described in 1947 by Atkins and Key. 4) The incidence of CAAD is estimated to be 1 in 1200 cases of claudication, with cases described involving external iliac, femoral, popliteal, radial, and ulnar arteries and veins. 5) The literature has reported various hypotheses regarding pathogenesis of cystic adventitial disease as follows: the trauma theory; repetitive trauma.…”

Section: Discussionmentioning

confidence: 99%

Cystic Adventitial Disease of the Common Femoral Artery. Case Report and Review of the Literature

Maeda

Umeda

Kawachi

et al. 2016

ATCS

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Purpose: Cystic adventitial artery disease is an uncommon non-atherosclerotic peripheral vessel disease. Furthermore cystic adventitial disease of the common femoral artery is an extremely rare entity. We report the case of a 54 year-old man complaining of intermittent claudication who was referred to our vascular service. Methods and Results: Doppler ultrasound and multidetector-row computed tomography (CT) with 3-dimensional volume rendering revealed severe stenosis with cystic an adventitial cyst in the common femoral artery. Intra-operative Doppler ultrasound showed the cyst to be multilocular type. Reversed great saphenous vein interposition was successfully placed. Conclusion: Removal of cyst together with artery and interposition using reversed great saphenous vein is the optimal treatment procedure to prevent recurrence.

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Section: Discussionmentioning

confidence: 99%

Cystic Adventitial Disease of the Common Femoral Artery. Case Report and Review of the Literature

Maeda

Umeda

Kawachi

et al. 2016

ATCS

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“…1) Cysts in ACD are typically unior multilocular and contain mucin and hyaluronic acid. The compression of the cysts that develop within the adventitia causes stenosis or occlusion of the vessel lumen.…”

Section: Discussionmentioning

confidence: 99%

A Case of Adventitial Cystic Disease of the Popliteal Artery Progressing Rapidly after Percutaneous Ultrasound-guided Aspiration

Seo

Fujii

Aoyama

et al. 2014

Annals of Vascular Diseases

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Adventitial cystic disease is a rare non-atherosclerotic vascular disease. We report a 36-year-old man with right intermittent claudication by adventitial cystic disease. computed tomography (CT) and magnetic resonance imaging (MRI) revealed an ovoid cystic mass compressing the right popliteal artery and causing severe stenosis of the lumen. Percutaneous aspiration was performed, which improved his symptoms. However, he complained of identical intermittent claudication two weeks later. Radiographic findings revealed that the cystic lesion had progressed rapidly. The cystic lesion was resected and the affected arterial segment was interposed. We consider that conventional surgical intervention remains the favored treatment option in the management of adventitial cystic disease.

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“…CAD is a rare vascular disorder, first described by Atkins and Key in 1947 as a case of myxomatous tumor in the left external iliac artery (1). Since that initial description, approximately 350 cases has been reported in the literature (2).…”

Section: Etiology and Pathophysiologymentioning

confidence: 99%

Cystic adventitial disease—case series and review of literature

Li¹,

King²,

Velasco³

et al. 2017

Ann. Transl. Med.

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Cystic adventitial disease (CAD) is a rare vascular disorder that involves the arteries and rarely the veins, most commonly found in the popliteal artery of male patients. Etiology of CAD is uncertain and currently without a consensus agreement. Clinically, the most common presenting symptom is claudication.Diagnosis requires a strong clinical suspicion in patients with intermittent claudication, but without other risk factors for atherosclerotic disease. Angiography, ultrasound (US), computed tomography (CT) and magnetic resonance imaging (MRI) can all be used for diagnosis. Treatment of CAD can be done via surgical resection or percutaneous intervention such as aspiration. CAD can rarely recur after treatment. Case presentation Case 1A 54-year-old male who presented after an abnormal ultrasound (US) with Doppler exam at an outside institution with a 2 months history of new, progressive right leg claudication. His medical history is significant for hypertension and a maternal history of fatal abdominal aortic aneurysm rupture. The patient states a history of trauma to the right knee of uncertain nature. He denies illicit drug use but confirms a long history of cigarette smoking. Review of systems is otherwise negative. On physical examination, no swelling, varicose veins or stiffness in the right leg were identified. The right pedal pulses were palpable but greatly reduced. The left leg is unremarkable. The initial abnormal Doppler US performed at an outside institution (image not available) reported a 1.5 cm right popliteal artery aneurysm with a possible dissection within this aneurysm and luminal narrowing. An urgent computed tomography angiography (CTA) abdomen and pelvis with runoff was performed which demonstrated a cystic structure intimately associated with the right above-theknee popliteal artery, causing near complete occlusion (Figures 1,2) without evidence of dissection. A presumptive diagnosis of cystic adventitial disease (CAD) is made at this time, and the patient was taken to the operating room for definitive diagnosis and management. A posterior surgical approach was taken and a cyst in the wall of the right popliteal artery was identified. The cyst was entered with the evacuation of viscous, jelly-like amber material. The entire cyst wall was resected. There was strong distal popliteal artery pulse status post cystectomy. The patient had an unremarkable recovery. Follow up with Doppler US performed at 2 and 4 months post-cystectomy showed a normal right popliteal artery, without evidence of cyst recurrence. Case 2A 58-year-old male developed an acute onset of left lower extremity claudication and numbness. There were no resting pain, skin ulcerations or prior history of claudication symptoms. On physical examination, the patient's right lower extremity pulses were within normal limits. The left lower extremity pedal pulses were palpable but reduced, and became nonpalpable with left knee flexion (positive Ishikawa sign). A Doppler US demonstrated an anechoic lesion intimately associat...

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A case of myxomatous tumour arising in the adventitia of the left external iliac artery

Cited by 199 publications

References 0 publications

Cystic Adventitial Disease of the Common Femoral Artery. Case Report and Review of the Literature

Cystic Adventitial Disease of the Common Femoral Artery. Case Report and Review of the Literature

A Case of Adventitial Cystic Disease of the Popliteal Artery Progressing Rapidly after Percutaneous Ultrasound-guided Aspiration

Cystic adventitial disease—case series and review of literature

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