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

Abstract

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.

Cystic Adventitial Disease of the (ilio) Femoral Artery with a Connection to the Hip Joint: Case Report and a Review of the Literature

“…A total of 16 case reports with 17 patients were included. 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 In Table 1 , the patient demographic data are summarised. The mean age was 49 years.…”

“… Sex/Age (Years) Comorbidities Smoker Trauma Side Symptoms Maeda et al. 1 Male/53 Diabetes, Gout Unknown No L Claudication progressive over three months Park et al. 2 Male/79 Hypertension, rheumatoid arthritis, COPD, CVA Unknown No R Calf claudication for one day Gagnon et al.…”

“… Ankle brachial index Imaging modality Correct pre-operative diagnosis (or suspicion) of CAD Involved artery Maeda et al. 1 0.6 Duplex/CTA Yes Common femoral artery Park et al. 2 0.75 CTA Yes Common femoral artery Gagnon et al.…”

Cystic Adventitial Disease of the Common Femoral Artery: A Rare-Case Report

“…Alkins and Key published the first case of CAD in 1947 ( 3 ). The majority of published literature thus far have reported popliteal-artery CAD as the cause for systemic CAD ( 2 , 6 ), while common femoral-artery CAD is quite rare ( 7 , 8 ). Until now, only a few cases of CAD have been reported to occur in the common femoral artery.…”

Cystic Adventitial Disease of the Popliteal Artery

“…Наиболее часто поражается подколенная артерия (85% случаев), реже КБА выявляют в наружной подвздошной, общей бедренной, подмышечной, плечевой, лучевой и локтевой артериях [3,4,6,[10][11][12][13]. В большинстве случаев авторы наблюдали одностороннее поражение, однако КБА встречается и с двух сторон [14,15].…”