Elster Eric A, Hewlett Stanley, DeRienzo Damian P, Donovan Sean, Georgia Jeff, Yavorski Chester C
Department of Surgery, The National Naval Medical Center, Bethesda, MD 20889-5600, USA.
Ann Vasc Surg. 2002 Jan;16(1):134-7. doi: 10.1007/s10016-001-0146-0. Epub 2002 Jan 17.
Adventitial cystic disease (ACD) is an extremely rare cause of arterial and venous insufficiency, with only 317 reported cases in the world literature. These lesions have been previously described in the popliteal fossa, external iliac artery, and distal brachial, radial, and ulnar arteries as well as in the proximal saphenous vein at the ankle. We describe here the first reported case of this disease in a proximal vessel, the axillary artery. A 33-year-old man was evaluated for upper extremity arterial insufficiency and was diagnosed with ACD on the basis of physical examination and radiographic findings, which was confirmed by pathological assessment. The patient was treated by excision of the lesion and interposition vein bypass. As this represents the first case of ACD in the proximal vasculature, it demonstrates that these lesions can occur in axial blood vessels.
外膜囊肿性疾病（ACD）是导致动静脉功能不全的极其罕见的原因，世界文献中仅报道了317例。这些病变先前已在腘窝、髂外动脉、肱动脉远端、桡动脉和尺动脉以及踝关节处的大隐静脉近端被描述过。我们在此报告了首例发生于近端血管（腋动脉）的该疾病病例。一名33岁男性因上肢动脉功能不全接受评估，根据体格检查和影像学检查结果被诊断为ACD，病理评估证实了这一诊断。患者接受了病变切除及静脉移植搭桥治疗。由于这是近端脉管系统中首例ACD病例，它表明这些病变可发生于轴向血管。
