Abstract
Cystic adventitial disease (CAD) of the popliteal artery is a rare pathology which causes intermittent claudication. A 68-year-old man presented to our hospital complaining of intermittent claudication of the right lower extremity. Ankle-brachial pressure index (ABI) was 0.47 on the right side. By contrast computed tomography, the right popliteal artery was found to be occluded while the angiography showed stenosis of the artery with typical ‘hourglass appearance’. Based on the findings of magnetic resonance imaging and intravascular ultrasonography, CAD of the right popliteal artery was diagnosed. He underwent removal of the diseased segment and replacement with an autologous great saphenous vein. No recurrence was observed over 6 months postoperatively. Surgical resection for arterial CAD is effective and curative. Appropriate procedure should be selected considering the severity and location of the affected lesion.
