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

Hideaki Maeda; Tomofumi Umeda; Hideomi Kawachi; Ayako Iida; Yusuke Ishii; Michinari Kono; Motomi Shiono

doi:10.5761/atcs.cr.15-00269

Case Reports

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

Hideaki Maeda, Tomofumi Umeda, Hideomi Kawachi, Ayako Iida, Yusuke Ishii, Michinari Kono, Motomi Shiono

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Keywords: cystic adventitial cyst disease, common femoral artery, Doppler ultrasound, bypass surgery

JOURNAL FREE ACCESS

2016 Volume 22 Issue 5 Pages 315-317

DOI https://doi.org/10.5761/atcs.cr.15-00269

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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.

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