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      Enfermedad quística adventicial con recanalización espontánea de la arteria poplítea Translated title: Adventitial cystic disease with spontaneous recanalization of popliteal artery

      case-report

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          Abstract

          Resumen La enfermedad quística adventicial (EQA) de la arteria poplítea es una enfermedad poco frecuente. El síntoma más frecuente es la claudicación. Los pacientes suelen ser jóvenes y sin factores de riesgo para ateroesclerosis. Presentamos el caso de un paciente de 52 años con clínica de claudicación y hallazgo de trombosis de la arteria poplítea que al año recanalizó espontáneamente. Dada la persistencia de la clínica y la lesión sospechosa de quiste poplíteo, se decidió realizar la resección de dicha lesión y la revascularización mediante injerto protésico.

          Translated abstract

          Abstract Cystic adventitial disease of the popliteal artery is a rare disease that usually mani-fests with intermittent claudicating. Patients are usually young and without risk fac-tors for atherosclerosis. In this report, we present a case of a 52 years old man with thrombosis of popliteal artery which recanalized spontaneously a year later. Given the persistence of claudi-cating and the suspicion of cystic adventitial disease, we decided to perform resection of the affected artery and revascularization with prosthetic grafting.

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          Most cited references7

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          Cystic adventitial disease of the popliteal artery: an argument for the developmental theory.

          Cystic adventitial disease is a rare non-atheromatous cause of popliteal artery disease. We report a case of a 54-year-old patient with claudication of the right calf caused by cystic adventitial disease. Intra-operatively, a communication between the adventitia and the knee joint was identified. Connections between the adventitial cyst and the nearby joint have been reported in the literature that support the developmental theory. This theory suggests that cystic adventitial disease is a developmental manifestation of mucin-secreting cells derived from the mesenchyme of the adjacent joint. This case is the first, to our knowledge, in which a communication between joint and adventitia has been clearly documented by operative findings.
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            Spontaneous and permanent resolution of cystic adventitial disease of the popliteal artery.

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              Cystic adventitial disease of the popliteal artery: is there a consensus in management?

              Cystic adventitial disease (CAD) is a well described disease entity that commonly affects the popliteal artery, presenting as a rare cause of non-atherosclerotic claudication. The traditional surgical approaches are cyst resection and bypass, or cyst evacuation or aspiration. We report the case of a 58-year-old female with CAD of the popliteal artery treated successfully with cyst resection and bypass using an autologous graft. We reviewed the literature over the last 25 years on management and outcomes of CAD of the popliteal artery. We identified a total of 123 cases; most cases were treated using a traditional repair, while 3 cases used an endovascular approach. The overall success rate using bypass was 93.3%, compared to 85% in the evacuation/aspiration cohort. All cases treated endovascularly resulted in failure. While no consensus exists regarding the preferred modality to treat CAD, we believe that resection of the cyst and bypass affords the best outcomes.
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                Author and article information

                Journal
                angiologia
                Angiología
                Angiología
                Arán Ediciones S.L. (Madrid, Madrid, Spain )
                0003-3170
                1695-2987
                December 2020
                : 72
                : 6
                : 312-314
                Affiliations
                [1] Madrid orgnameHospital Universitario Fundación Jiménez Díaz orgdiv1Servicio de Angiología, Cirugía Vascular y Endovascular Spain
                Article
                S0003-31702020000700005 S0003-3170(20)07200600005
                10.20960/angiologia.00165
                8515c71b-7304-40eb-bc30-5dd622e30c44

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 24 May 2020
                : 17 June 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 7, Pages: 3
                Product

                SciELO Spain

                Categories
                Casos Clínicos

                Arteria poplítea,Bypass graft,Intermittent claudication,Adventicial cyst,Quiste adventicial,Claudicación intermitente,Injerto bypass,Popliteal artery

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