Adventitial cystic disease of radial artery. Apropos of a case and review of literature

Cardiovascular Pathology : the Official Journal of the Society for Cardiovascular Pathology
Álvaro Torres-BlancoFrancisco Gómez-Palonés

Abstract

Adventitial cystic disease is an uncommon condition that is characterized by the collection of mucinous material that accumulates in the adventitial layer of the artery. Predominantly, this entity affects the popliteal artery, whereas it is extremely rare in the radial artery. We report a 72-year-old female patient that underwent surgical treatment of an adventitial cyst of the right radial artery. The involved arterial segment was resected, and reconstruction by means of the interposition of a saphenous vein graft was performed. Although the etiology is still debated, the finding of a pedicle through the superficial palmar branch of the radial artery connecting to the adjacent wrist joint reinforces the hypothesis of synovial origin. After 12 months, the patient is asymptomatic, and duplex ultrasound shows no signs of recurrence and patency of the bypass. This rare entity should be suspected when a pulsatile mass is noted in the radial artery because an early diagnosis and appropriate management may prevent further complications.

Citations

Sep 9, 2018·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Laura W LewallenSanjeev Kakar
Nov 1, 2018·Jornal Vascular Brasileiro·Adriano Carvalho GuimarãesWalter Junior Boim de Araujo
Jan 8, 2021·Annals of Vascular Surgery·Jonida BejkoAntonio Zanon
Aug 18, 2021·Journal of Vascular Surgery Cases and Innovative Techniques·Jaineet S ChhabraJustin M Simmons

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