Cystic Myxomatous Degeneration of Popliteal Artery

Bliss, B. P.; Rhodes, Jeffrey M.; Rains, A. J. Harding

doi:10.1136/bmj.2.5361.847

Cited by 26 publications

(7 citation statements)

References 6 publications

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“…It has also been described as a dilatation of the artery (Simon, 1963) as yellowish brown in colour (Ishikawa et al, 1961) and as a pulsatile lump (Lambley, 1963 ;Tytgat, Derom, and Galinsky, 1958). Dense periarterial adhesions similar to those found in Case 2 have been reported by other authors (Hiertonn et al, 1957;Robb, 1960;Tytgat et al, 1958;Ishikawa et al, 1961Bliss et al, 1963.…”

Section: Discussionsupporting

confidence: 86%

“…The lesion may cause stenosis, occlusion, or displacement of the artery. The stenosis is a smooth indentation of the arterial wall which may be one-sided or hour-glass in appearance, and which may vary in severity with the pulse wave (Jacquet and Meyer-Burgdorff, 1960) or posture (Bliss, Rhodes, and Rains, 1963). Similar stenotic appearances may be caused by a local atheromatous plaque, but post-stenotic dilatation has not been noted with cystic degeneration and in doubtful cases a lateral arteriogram may show irregularity.…”

Section: Discussionmentioning

confidence: 99%

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Cystic Adventitial Disease of the Popliteal Artery

Lewis¹,

Douglas²,

Reid³

et al. 1967

BMJ

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In 1954 Ejrup and Hiertonn recorded a case of stenosis of the popliteal artery caused by a cyst arising from the adventitia, and this case and three similar ones were described by Hiertonn, Lindberg, and Rob (1957) as " cystic degeneration of the popliteal artery." The cardinal features they described were those of a localized arterial disease of young adult males causing intermittent claudication of sudden onset, which was successfully treated by resection of the affected arterial segment with autogenous vein graft or arterial homograft replacement. This condtion is rare, and of the 32 cases described in the literature 24 have involved the popliteal artery (Sutton, 1962;Hamming and Vink, 1965; and others). It has also been described in the external iliac artery (Atkins and Key, 1946;Jacquet and Meyer-Burgdorff, 1960), the radial artery (Parkes, 1961; Bdckstrbm, Linell, and Ostberg, 1965), and the ulnar artery (Parkes, 1961), andHiertonn (1966) Arteriogram showing posterior displacement of the popliteal artery due to the cyst. tion with the knee joint. On incising the cyst a quantity of thick " jelly " extruded. The cyst wall was partially excised, after which the popliteal artery pulsated normally. Postoperatively the popliteal and posterior tibial pulses were normal, and he was asymptomatiL for about one year.He then had recurrence of claudication at 400 yards (365 metres), and on examination it was found that the popliteal cyst had recurred and was pushing the popliteal artery posteriorly so that the popliteal pulse was more easily palpable than normal and there was an audible bruit. Arteriography showed postero-medial displacement of the artery (Fig. 1). Ten millilitres of viscous homogeneous gel with a pinkish hue was aspirated from the cyst and he again became asymptomatic.411'

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Cystic Adventitial Disease of the Popliteal Artery

Lewis¹,

Douglas²,

Reid³

et al. 1967

BMJ

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show abstract

“…Inflammatory cells, haemorrhage and macrophages were seen only in one case where thrombosis had occurred. In two cases, the outer wall of the cyst was of dense fibrous tissue with a few longitudinally arranged elastic fibres, and occasional blood vessels, which probably represented the external elastic lamina (Bliss, Rhodes & Harding Rains, 1963;Taylor et al, 1967). Smooth muscle has also been noted as well as elastic tissue in the cyst wall (Simon, 1963).…”

Section: Discussionmentioning

confidence: 99%

Arterial cystic degeneration

Savage

1972

Postgraduate Medical Journal

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“…On the other hand, the histochemical markers for synovium are absent in adventiti al cysts 38,44 . The microtraum atic theory was postulated on the basis of cases of popliteal artery CAD in young adults employed in heavy physical labour 50 , and in patients engaged in extreme sports and vigorous exercise [25][26][27][28] . In other patients, a definite traumatic event preceding the disclosure of CAD was identified such as falling from a bus 51 , pedal cycle accident 52 and repeated kneeling 53 .…”

Section: Etiology Of Cadmentioning

confidence: 99%