A Case of Cystic Adventitial Degeneration of the Left Popliteal Artery Diagnosed by Intravascular Ultrasound

A Case of Cystic Adventitial Degeneration of the Left Popliteal Artery Diagnosed by Intravascular Ultrasound

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An 87-year-old male was admitted with intermittent claudication of the left calf. We performed lower extremity angiography, which revealed stenosis of the left popliteal artery. Intravascular ultrasound (IVUS) image correctly identified the cystic appearance of visualized extravascular hypodensity,...

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Main Authors: Takeshi Niizeki, Mitsunori Ishino, Tatsuro Kitahara, So Yamauchi, Eiichiro Ikeno, Isao Kubota
Format: Article
Language:English
Published: SAGE Publishing 2016-09-01
Series:Clinical Medicine Insights: Case Reports
Online Access:https://doi.org/10.4137/CCRep.S38175
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spelling doaj-14dceed52a1c461ab2f43f6ff2a47d9c2020-11-25T02:48:08ZengSAGE PublishingClinical Medicine Insights: Case Reports1179-54762016-09-01910.4137/CCRep.S38175A Case of Cystic Adventitial Degeneration of the Left Popliteal Artery Diagnosed by Intravascular UltrasoundTakeshi Niizeki0Mitsunori Ishino1Tatsuro Kitahara2So Yamauchi3Eiichiro Ikeno4Isao Kubota5Department of Cardiology, Okitama Public General Hospital, Yamagata, Japan.Department of Cardiology, Okitama Public General Hospital, Yamagata, Japan.Department of Cardiology, Okitama Public General Hospital, Yamagata, Japan.Department of Cardiology, Okitama Public General Hospital, Yamagata, Japan.Department of Cardiology, Okitama Public General Hospital, Yamagata, Japan.First Department of Internal Medicine, Yamagata University School of Medicine, Yamagata, Japan.An 87-year-old male was admitted with intermittent claudication of the left calf. We performed lower extremity angiography, which revealed stenosis of the left popliteal artery. Intravascular ultrasound (IVUS) image correctly identified the cystic appearance of visualized extravascular hypodensity, causing extrinsic compression of the lumen. We diagnosed the condition as cystic adventitial degeneration (CAD) of the popliteal artery. We operated a resection of a cyst with the artery and replaced the autovein graft (saphenous vein). After surgery, the patient was free of symptoms. CAD is a rare disease; thus, our IVUS findings may provide unique diagnostic clues in patients with CAD.https://doi.org/10.4137/CCRep.S38175
collection DOAJ
language English
format Article
sources DOAJ
author Takeshi Niizeki
Mitsunori Ishino
Tatsuro Kitahara
So Yamauchi
Eiichiro Ikeno
Isao Kubota
spellingShingle Takeshi Niizeki
Mitsunori Ishino
Tatsuro Kitahara
So Yamauchi
Eiichiro Ikeno
Isao Kubota
A Case of Cystic Adventitial Degeneration of the Left Popliteal Artery Diagnosed by Intravascular Ultrasound
Clinical Medicine Insights: Case Reports
author_facet Takeshi Niizeki
Mitsunori Ishino
Tatsuro Kitahara
So Yamauchi
Eiichiro Ikeno
Isao Kubota
author_sort Takeshi Niizeki
title A Case of Cystic Adventitial Degeneration of the Left Popliteal Artery Diagnosed by Intravascular Ultrasound
title_short A Case of Cystic Adventitial Degeneration of the Left Popliteal Artery Diagnosed by Intravascular Ultrasound
title_full A Case of Cystic Adventitial Degeneration of the Left Popliteal Artery Diagnosed by Intravascular Ultrasound
title_fullStr A Case of Cystic Adventitial Degeneration of the Left Popliteal Artery Diagnosed by Intravascular Ultrasound
title_full_unstemmed A Case of Cystic Adventitial Degeneration of the Left Popliteal Artery Diagnosed by Intravascular Ultrasound
title_sort case of cystic adventitial degeneration of the left popliteal artery diagnosed by intravascular ultrasound
publisher SAGE Publishing
series Clinical Medicine Insights: Case Reports
issn 1179-5476
publishDate 2016-09-01
description An 87-year-old male was admitted with intermittent claudication of the left calf. We performed lower extremity angiography, which revealed stenosis of the left popliteal artery. Intravascular ultrasound (IVUS) image correctly identified the cystic appearance of visualized extravascular hypodensity, causing extrinsic compression of the lumen. We diagnosed the condition as cystic adventitial degeneration (CAD) of the popliteal artery. We operated a resection of a cyst with the artery and replaced the autovein graft (saphenous vein). After surgery, the patient was free of symptoms. CAD is a rare disease; thus, our IVUS findings may provide unique diagnostic clues in patients with CAD.
url https://doi.org/10.4137/CCRep.S38175
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