Maeng Young-Hee, Chang Jee Won, Kim Sun Hyung
Department of Pathology, Jeju National University Hospital, Korea.
Korean J Thorac Cardiovasc Surg. 2011 Jun;44(3):266-8. doi: 10.5090/kjtcs.2011.44.3.266. Epub 2011 Jun 11.
Cystic adventitial disease is rare, but it is one of the well-recognized causes of non-atherosclerotic arterial stenosis or obstruction. Despite one of its most common symptoms being chronic intermittent claudication, it may be misdiagnosed as arterial embolism when presented with acute ischemic symptoms. Surgical resection is recommended because of recurrence or a low success rate with aspiration or endovascular stent. We performed resection and repair with autologous vein patch for cystic adventitial disease of the popliteal artery of a 57-year-old man presenting with pain, pallor, and paresthesia, without any postoperative complications or recurrence.
囊性外膜疾病罕见，但它是公认的非动脉粥样硬化性动脉狭窄或阻塞的病因之一。尽管其最常见的症状之一是慢性间歇性跛行，但当出现急性缺血症状时，可能会被误诊为动脉栓塞。由于抽吸或血管内支架置入术会出现复发或成功率低的情况，因此建议进行手术切除。我们对一名57岁患有腘动脉囊性外膜疾病且伴有疼痛、苍白和感觉异常的男性患者进行了自体静脉补片切除和修复手术，术后未出现任何并发症或复发。
