Fox R L, Kahn M, Adler J, Sussman B, Mendes D, Ibrahim I M, Dardik H
J Vasc Surg. 1985 May;2(3):464-7.
Adventitial cystic disease of the popliteal artery is an important cause of peripheral vascular insufficiency in the young and middle-aged man. The pathologic feature is a mucinous cyst located within the adventitia of the artery that expands and secondarily compromises the vessel lumen. Although physiologically quite different, this process is easily mistaken for arteriosclerosis. The clinical history of sudden claudication in a young nonsmoking man, combined with characteristic angiographic features, are important clues to the correct underlying pathology. Treatment generally consists of cyst evacuation or local bypass. This article was prompted by the failure of percutaneous transluminal angioplasty to achieve durable success in controlling this unique type of arterial disease. Subsequent surgical intervention proved satisfactory, lending support to this modality as the treatment of choice.
腘动脉外膜囊肿性疾病是中青年男性周围血管功能不全的重要原因。其病理特征是位于动脉外膜内的黏液性囊肿，囊肿扩张并继而压迫血管腔。尽管在生理上有很大不同，但这个过程很容易被误诊为动脉硬化。年轻非吸烟男性突然出现间歇性跛行的临床病史，结合特征性血管造影表现，是正确诊断潜在病理的重要线索。治疗通常包括囊肿清除或局部旁路手术。本文的撰写是因为经皮腔内血管成形术未能在控制这种独特类型的动脉疾病方面取得持久成功。随后的手术干预证明效果令人满意，支持了这种治疗方式作为首选治疗方法。
