A Case of Cystic Adventitial Degeneration of the Left Popliteal Artery Diagnosed by Intravascular Ultrasound

Author:

Niizeki Takeshi1,Ishino Mitsunori1,Kitahara Tatsuro1,Yamauchi So1,Ikeno Eiichiro1,Kubota Isao2

Affiliation:

1. Department of Cardiology, Okitama Public General Hospital, Yamagata, Japan.

2. First Department of Internal Medicine, Yamagata University School of Medicine, Yamagata, Japan.

Abstract

An 87-year-old male was admitted with intermittent claudication of the left calf. We performed lower extremity angiography, which revealed stenosis of the left popliteal artery. Intravascular ultrasound (IVUS) image correctly identified the cystic appearance of visualized extravascular hypodensity, causing extrinsic compression of the lumen. We diagnosed the condition as cystic adventitial degeneration (CAD) of the popliteal artery. We operated a resection of a cyst with the artery and replaced the autovein graft (saphenous vein). After surgery, the patient was free of symptoms. CAD is a rare disease; thus, our IVUS findings may provide unique diagnostic clues in patients with CAD.

Publisher

SAGE Publications

Subject

General Medicine

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