Korean J Thorac Cardiovasc Surg.  2013 Apr;46(2):150-152. 10.5090/kjtcs.2013.46.2.150.

Adventitial Cystic Disease of the Common Femoral Artery: A Case Report and Literature Review

• Kim SH
• Lee CE
• Park HO
• Kim JW
• Choi JY
• Lee JH

• KMID: 1427812
• DOI: http://doi.org/10.5090/kjtcs.2013.46.2.150

Abstract

Arterial adventitial cystic disease is an uncommon type of non-atherosclerotic peripheral vessel disease. Most cases of arterial adventitial cystic disease occur in the popliteal arteries; however, fewer cases have been reported in the femoral arteries. A 59-year-old male patient visited the hospital with a complaint of a swelling on the lower extremity that had begun two months earlier. Suspecting deep vein thrombosis based on a physical examination and ultrasonography from another hospital, tests were performed. Magnetic resonance imaging (MRI) was performed for exact diagnosis because venous adventitial cystic disease was suspected by computed tomography venography. The MRI indicated venous adventitial cystic disease as well. Thus, a cystic mass excision was performed. In the end, a cystic mass compressing the common femoral vein that originated from the common femoral artery was diagnosed based on the macroscopic findings. This case is reported because blood circulation in the vein was impeded due to arterial adventitial cystic disease, and the symptoms improved after the cystic mass excision and polytetrafluoroethylene roofing angioplasty.

Keyword

Adventitial cystic disease; Peripheral vascular disease

MeSH Terms

Angioplasty
Blood Circulation
Femoral Artery
Femoral Vein
Glycosaminoglycans
Humans
Lower Extremity
Magnetic Resonance Imaging
Male
Peripheral Vascular Diseases
Phlebography
Physical Examination
Polytetrafluoroethylene
Veins
Venous Thrombosis
Glycosaminoglycans
Polytetrafluoroethylene