Cystic Adventitial Disease of the Popliteal Artery: A Case Report

Ultrasound finding of cystic adventitial disease of the popliteal artery—A rare diagnosis for claudication

“…10 CAD can also lead to complete occlusion of the affected artery and therefore a rapid and accurate diagnosis is important for the correct treatment to be performed before this occurs. 7,9,11 Occasionally the patient may also present with a palpable mass within the popliteal fossa as reported by Kawarai et al and Peterson et al 1,12 Although CAD has a slow progression, once the patient becomes symptomatic with claudication the progression can be rapid. 4,6,12 The aetiology of CAD remains unknown, however there are four theories.…”

“…This occurs due to the mucoid cysts in the adventitia compressing the arterial walls and therefore limiting the flow through the affected portion of the artery 10 . CAD can also lead to complete occlusion of the affected artery and therefore a rapid and accurate diagnosis is important for the correct treatment to be performed before this occurs 7,9,11 . Occasionally the patient may also present with a palpable mass within the popliteal fossa as reported by Kawarai et al and Peterson et al 1,12 Although CAD has a slow progression, once the patient becomes symptomatic with claudication the progression can be rapid 4,6,12 …”

Cystic adventitial disease of the popliteal artery: An argument for the developmental theory

“…Recurrence is described 24 hours to 8 weeks after the initial PTA. [16][17][18] The subadventitial cyst remains intact after the intervention, leading to new symptoms when the pressure within the cyst increases again, compressing the vessel or after resuming its former configuration. Furthermore, the otherwise unaffected, healthy intima of the vessel is injured, leading to a higher risk of arterial thrombosis.…”

Cystic Adventitial Disease of the Iliofemoral Artery: Case Reports and a Short Review

“…It occurs with an estimated frequency of 1 in 1,200 claudicants, 1 with a male to female ratio of 15:1. 5 Typically, patients do not have atherosclerotic risk factors for peripheral vascular disease, but elderly males with atherosclerotic risk factors have also been reported to suffer from this condition. Kuijpers and colleagues in 1969 were the first to report the occurrence of cystic adventitial disease involving the common femoral and superficial femoral arteries.…”