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

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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Autores principales: Niizeki, Takeshi, Ishino, Mitsunori, Kitahara, Tatsuro, Yamauchi, So, Ikeno, Eiichiro, Kubota, Isao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Libertas Academica 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4772905/
https://www.ncbi.nlm.nih.gov/pubmed/26949345
http://dx.doi.org/10.4137/CCRep.S38175
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author Niizeki, Takeshi
Ishino, Mitsunori
Kitahara, Tatsuro
Yamauchi, So
Ikeno, Eiichiro
Kubota, Isao
author_facet Niizeki, Takeshi
Ishino, Mitsunori
Kitahara, Tatsuro
Yamauchi, So
Ikeno, Eiichiro
Kubota, Isao
author_sort Niizeki, Takeshi
collection PubMed
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.
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spelling pubmed-47729052016-03-04 A Case of Cystic Adventitial Degeneration of the Left Popliteal Artery Diagnosed by Intravascular Ultrasound Niizeki, Takeshi Ishino, Mitsunori Kitahara, Tatsuro Yamauchi, So Ikeno, Eiichiro Kubota, Isao Clin Med Insights Case Rep Case Report 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. Libertas Academica 2016-02-29 /pmc/articles/PMC4772905/ /pubmed/26949345 http://dx.doi.org/10.4137/CCRep.S38175 Text en © 2016 the author(s), publisher and licensee Libertas Academica Ltd. This is an open-access article distributed under the terms of the Creative Commons CC-BY-NC 3.0 License.
spellingShingle Case Report
Niizeki, Takeshi
Ishino, Mitsunori
Kitahara, Tatsuro
Yamauchi, So
Ikeno, Eiichiro
Kubota, Isao
A Case of Cystic Adventitial Degeneration of the Left Popliteal Artery Diagnosed by Intravascular Ultrasound
title 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_short 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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4772905/
https://www.ncbi.nlm.nih.gov/pubmed/26949345
http://dx.doi.org/10.4137/CCRep.S38175
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