Adventitial cystic disease of the axillary artery

Annals of Vascular Surgery
Eric A ElsterChester C Yavorski

Abstract

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.

Citations

Feb 18, 2012·Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia·Petr DracPetr Bachleda
Sep 30, 2006·ANZ Journal of Surgery·Ramon L VarcoeGabrielle McMullin
Jul 23, 2013·Vascular and Endovascular Surgery·Albeir Y MousaAli F Aburahma
Dec 16, 2011·Vascular and Endovascular Surgery·Sharath C V ParavastuPeter A Gaines
Nov 1, 2018·Jornal Vascular Brasileiro·Adriano Carvalho GuimarãesWalter Junior Boim de Araujo

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