A Case Report of Cystic Adventitial Disease Treated by Cystectomy and Saphenous Vein Patch Angioplasty

Abstract

Cystic adventitial degeneration is a rare arterial disorder that causes arterial stenosis and obstruction due to colloidal deposition at the adventitia and media. This case report describes a 53-year-old man who presented with left-sided intermittent claudication. The ABI on the left was 0.38. Weakness of pulsation was observed in the peripheral of the popliteal artery, and contrast-enhanced computed tomography and magnetic resonance imaging revealed popliteal adventitial degeneration and we performed cystectomy and saphenous vein patch angioplasty under general anesthesia. The patient has had an uneventful postoperative course for more than half a year.