Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 2667-4947 E-ISSN 2667-5080



Turkish Journal of Vascular Surgery 2020 , Vol 29 , Issue 2
Cystic adventitial disease: A cause of peripheral arterial disease that should be remembered in young adults
Erdinç Eroğlu1, Alptekin Yasım1, Mehmet Acıpayam1
1Department of Cardiovascular Surgery, Kahramanmaraş Sütçü İmam University Faculty of Medicine, Kahramanmaraş, Turkey DOI : 10.9739/tjvs.2020.546 Adventitial cystic disease is a rare peripheral arterial disease characterized by viscous and mucinous cysts in the arterial adventitia. Patients are usually young individuals without any risk factors for atherosclerosis. A 27-year-old man suffering from pain on his left leg was admitted. He had no history of atherosclerotic risk factors. Attenuated pulses were palpated. Doppler ultrasonography and computed tomography angiography revealed total occlusion in the femoral artery. Bypass surgery was performed using the vein graft. Histopathological examination revealed mucinous degeneration in the vascular wall. In conclusion, when arterial stenosis or occlusion develops in young patients having no risk factors for atherosclerosis, cystic adventitial disease should not be ignored. As frequently encountered in popliteal arteries, it must be distinguished carefully from popliteal artery entrapment syndrome. Keywords : Cystic adventitial disease, peripheral arterial disease, vasculopathy