Park Sun Jin, Park Won Seo, Min Sun Young, Kwon Se Hwan, Park Min Soo, Ahn Hyung Joon
Department of Surgery, Kyung Hee University School of Medicine, Seoul, South Korea.
Department of Radiology, Kyung Hee University School of Medicine, Seoul, South Korea.
Ann Vasc Surg. 2015 Feb;29(2):365.e1-3. doi: 10.1016/j.avsg.2014.08.027. Epub 2014 Nov 22.
Cystic adventitial disease (CAD) is a rare vascular disorder associated with nonatherosclerotic peripheral vessel disease and occurs when mucoid cysts in the adventitia compress the blood vessel. The underlying etiology and pathogenesis of CAD remain debatable as various theories have been suggested. This case is interesting because the cyst developed from the previous common femoral artery (CFA) dissection site. To our knowledge, this is the first report of CAD developed at a previous operation site. Thus, we report herein a case of CAD arising from a previous embolectomy dissection site in the CFA that was successfully treated with surgery.
囊性外膜疾病(CAD)是一种罕见的血管疾病,与非动脉粥样硬化性外周血管疾病相关,当外膜中的黏液囊肿压迫血管时就会发生。由于提出了各种理论,CAD的潜在病因和发病机制仍存在争议。该病例很有趣,因为囊肿是从前股总动脉(CFA)夹层部位发展而来的。据我们所知,这是首例在既往手术部位发生CAD的报告。因此,我们在此报告一例起源于CFA既往栓子切除术夹层部位的CAD病例,该病例通过手术成功治愈。