An unexpected intraoperative finding of cystic adventitial degeneration of the common femoral artery.
cystic adventitial disease
differential diagnosis
instrumental diagnosis
open surgical repair
peripheral artery disease
Journal
Journal of surgical case reports
ISSN: 2042-8812
Titre abrégé: J Surg Case Rep
Pays: England
ID NLM: 101560169
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
received:
07
05
2020
accepted:
29
05
2020
entrez:
22
8
2020
pubmed:
22
8
2020
medline:
22
8
2020
Statut:
epublish
Résumé
Herein we present a rare case of cystic adventitial degeneration involving the common femoral artery (CFA) of a 71-year-old patient, an unusual site of presentation of the disease. The most commonly affected district is the popliteal artery, and only a few cases of CFA involvement are described in literature. The history and comorbidities of the patient oriented us initially towards the diagnosis of an atherosclerotic obstructive disease. It was only intraoperatively indeed that a diagnosis of cystic adventitial arterial degeneration was made, subsequently confirmed by microscopic examination. Our case shows how both clinical and instrumental diagnosis of cystic adventitial disease can be challenging, given its non-specific presentation and low incidence. Suspicion of cystic adventitial degeneration is recommended in patients with sudden appearance of symptoms and with an isolated lesion of the affected artery without other involvement of the vascular tree.
Identifiants
pubmed: 32821365
doi: 10.1093/jscr/rjaa200
pii: rjaa200
pmc: PMC7427030
doi:
Types de publication
Case Reports
Langues
eng
Pagination
rjaa200Informations de copyright
Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2020.
Références
J Vasc Surg. 2014 Jul;60(1):235-45, 245.e1-11
pubmed: 24970659
J Cardiovasc Surg (Torino). 1973 Jul-Aug;14(4):447-51
pubmed: 4732063
Clin Anat. 2013 Mar;26(2):267-81
pubmed: 22933403
Ann Surg. 1979 Feb;189(2):165-75
pubmed: 426549
J Vasc Surg. 2017 Jan;65(1):157-161
pubmed: 27751735
J Cardiovasc Magn Reson. 2008 Aug 13;10:38
pubmed: 18700041
J Cardiovasc Surg (Torino). 2016 Apr;57(2):282-91
pubmed: 26471959
Ann Vasc Dis. 2014;7(4):417-20
pubmed: 25593629
Br J Surg. 1947 Apr;34(136):426
pubmed: 20247247
AJR Am J Roentgenol. 2003 Mar;180(3):621-5
pubmed: 12591663