Long-term outcome of partial resection in venous adventitial cystic disease

Hashimoto, Munetaka; Tamate, Yoshihisa; Sato, Hiroko; Murakami, Akihiko; Yanagawa, Naoki

doi:10.1016/j.jvscit.2021.04.022

Cited by 1 publication

(1 citation statement)

References 17 publications

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“…Interestingly, a recent study reported no recurrence after 10-year follow-up even in a patient with partial resection of CAD cyst. 11 It seemed that minimally invasive and endovascular treatment for CAD were associated with a higher recurrence rate as compared with complete surgical evacuation and excision of the cyst. 12 Typically for a CAD small in size, transverse venous division with complete cyst wall removal and end-to-end venous re-anastomosis could be considered.…”

Section: Discussionmentioning

confidence: 99%

Cystic Adventitial Disease of the Common Femoral Vein Presenting with Lower Limb Swelling: A Case Report

Liu

Wang

2023

Vasc Endovascular Surg

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Cystic adventitial disease (CAD) is a rare vascular disorder predominantly seen in adults without cardiovascular risk factors. We report a case of CAD involving the common femoral vein in a 38-year-old female presented with right lower extremity swelling that was initially misdiagnosed as deep vein thrombosis (DVT). A computed tomography revealed a cystic structure that compressed the right common femoral vein with resultant severe stenosis of the vascular lumen. Complete evacuation of the cyst with excision of the cyst wall was performed, and the patient remained symptom-free at 3 year follow-up. This case highlighted that the rare venous CAD should be incorporated in the differential diagnosis of unilateral lower extremity swelling suspicious for a DVT. Complete evacuation and surgical excision of the cyst often conferred favorable clinical outcome.

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Section: Discussionmentioning

confidence: 99%