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Cystic Adventitial Arterial Disease in the Iliofemoral Region — Case Report

Department of Vascular Surgery, the University of Padua

Diego Miotto

Institute of Radiology, the University of Padua

Gianpiero Feltrin

Institute of Radiology, the University of Padua

Guido Liessi

Radiology Unit, Castelfranco Veneto City Hospital, Padua, Italy

Giovanni Capitanio

Institute of Radiology, the University of Padua

Stella Blandamura

Institute of Radiology, the University of Padua

Francesco Dalla Costa

Department of Vascular Surgery, the University of Padua

Cystic adventitial arterial disease (CAAD) is a rare vascular disease mainly affecting the popliteal artery in men. The authors present an unusual case of CAAD in the iliofemoral region in a twenty-six-year-old woman. Symptoms com prised rapid onset of claudication, and angiography of the lesion revealed a typical "scimitar" stenosis. Since treatment with transluminal angioplasty is known to be useless and since there is a high percentage of relapses after simple evacua tion of the cysts, the authors resected the affected arterial segment and recon structed the artery using a prosthetic polytetrafluoroethylene (PTFE) graft.

Vascular and Endovascular Surgery, Vol. 26, No. 1, 77-83 (1992)
DOI: 10.1177/153857449202600113


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