Affiliation:
1. Departments of Surgery, Freeman Hospital and Royal Victoria Infirmary, Newcastle upon Tyne NE7 7DN, UK
Abstract
Abstract
Cystic adventitial arterial disease (CAAD) is usually situated in the popliteal artery and is a well recognized cause of intermittent claudication in otherwise healthy, young, non-smokers. Three cases of CAAD have recently been encountered, involving the popliteal artery in two patients and the common femoral in one. Two of these patients were hypertensive smokers in their sixth decades and only one was an otherwise healthy nonsmoker, but all three had a characteristically rapid onset of symptoms. All had angiographic appearances suggestive of CAAD, confirmed by ultrasound and CAT scanning in one patient. Two were treated by resection of the affected artery and a replacement graft, both with excellent results. One popliteal lesion was bypassed with a vein graft which occluded after 3 months. CAAD may occur more commonly than generally realized. It can present in patients whose condition suggests an atheromatous cause for their symptoms. Since good results can be expected from appropriate surgical treatment in most cases, CAAD should be considered in the diagnosis of all patients with claudication, particularly when the onset has been rapid.
Publisher
Oxford University Press (OUP)
Reference11 articles.
1. Summary of cases of adventitial cystic disease of the popliteal artery;Flanigan;Ann Surg,1979
2. Cystic adventitial disease of the popliteal artery;England;J R Coll Med,1979
3. Cystic adventitial disease of the popliteal artery;Hunt;Br J Surg,1980
4. The non-arterial origin of cystic adventitial disease of the popliteal artery in 2 patients;Devereux;Surgery,1980
5. Cystic adventitial diseases;Terry;Human Pathol,1981
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