Cystic adventitial disease of the popliteal artery presenting with features of entrapment syndrome
- Resource Type
- Authors
- Nizar Hariri; Babatunde Oriowo; Jennifer L. Smith; Fedor Lurie
- Source
- Journal of Vascular Surgery Cases and Innovative Techniques
Journal of Vascular Surgery Cases and Innovative Techniques, Vol 6, Iss 1, Pp 75-79 (2020)
- Subject
- medicine.medical_specialty
lcsh:Diseases of the circulatory (Cardiovascular) system
Knee flexion
lcsh:Surgery
030204 cardiovascular system & hematology
030218 nuclear medicine & medical imaging
Muscle hypertrophy
03 medical and health sciences
Cystic adventitial disease
0302 clinical medicine
medicine.artery
Case report
medicine
business.industry
Popliteal artery entrapment syndrome
lcsh:RD1-811
medicine.disease
Lower extremity claudication
Popliteal artery
Entrapment syndrome
Surgery
lcsh:RC666-701
medicine.symptom
Cardiology and Cardiovascular Medicine
Claudication
business
- Language
- English
- ISSN
- 2468-4287
Cystic adventitial disease is an uncommon cause of lower extremity claudication resulting from accumulation of mucinous fluid in an arterial subadventitial layer, typically of the popliteal artery. A popliteal bruit and/or reduced distal pulses with knee flexion may be seen on examination. Alternatively, popliteal artery entrapment syndrome triggers claudication via an aberrant arterial pathway or muscular hypertrophy. Decreased distal pressures with plantar or dorsiflexion is a key finding. This report details the case of a middle-aged male with cystic adventitial disease whose diagnosis was complicated by concurrent features of popliteal artery entrapment syndrome. Treatment consisted of venous interposition grafting, which yielded excellent results.