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Vascular and Endovascular Surgery, Vol. 42, No. 2, 192-195 (2008)
DOI: 10.1177/1538574407309676

Interposition Grafting of Popliteal Artery Cystic Adventitial Disease: Case Report

Sejal M. Patel, MD

Department of Surgery, Division of Vascular Surgery, Lenox Hill Hospital, New York, New York, daespee{at}aol.com

Vivek A. Patil, MD

Department of Surgery, Division of Vascular Surgery, Lenox Hill Hospital, New York, New York

Vicken N. Pamoukian, MD, FACS

Department of Surgery, Division of Vascular Surgery, Lenox Hill Hospital, New York, New York

Cystic adventitial disease of the popliteal artery is a rare cause of leg claudication occurring primarily in young adults. We report a case of a 41-year-old athletic man who presented with rapidly progressive left leg claudication. Using duplex ultrasound and magnetic resonance angiography, a diagnosis of popliteal artery cystic adventitial disease was made. The cystic popliteal artery was resected and replaced using a prosthetic interposition graft. At the 1.5-year follow-up, the cysts have recurred; however, the related symptoms have not. This is in contrast to a previously reported case of interposition saphenous vein grafting requiring resection due to invasion by recurrent cysts within 6 months.

Key Words: popliteal artery • cystic adventitial • interposition graft • claudication


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