TAILIEUCHUNG - Báo cáo y học: " Involvement of the genicular branches in cystic adventitial disease of the popliteal artery as a possible marker of unfavourable early clinical outcome: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài:nvolvement of the genicular branches in cystic adventitial disease of the popliteal artery as a possible marker of unfavourable early clinical outcome: a case report | Ypsilantis and Tisi Journal of Medical Case Reports 2010 4 91 http content 4 1 91 jAc JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Involvement of the genicular branches in cystic adventitial disease of the popliteal artery as a possible marker of unfavourable early clinical outcome a case report Efthymios A Ypsilantis1 Paul VTisi2 Abstract Introduction Cystic adventitial disease of the popliteal artery is a rare cause of non-atheromatous claudication. It usually requires surgery to improve the distance walked by patients. Case presentation We report the case of a 44-year-old Caucasian man with unilateral symptomatic popliteal cysts extending to his genicular branches and associated with multilevel stenosis of his anterior tibial artery. A surgical evacuation of the cysts successfully restored his arterial patency and led to an objective haemodynamic improvement but was associated with early recurrence of symptoms. Conclusion We suggest that the involvement of the genicular branches in cystic adventitial disease of the popliteal artery is a possible indicator of extensive adventitial degeneration and unfavourable clinical prognosis. Introduction Cystic adventitial disease CAD of the popliteal artery PA is a rare but well-recognized non-atheromatous cause of claudication. Since it was first described in 1954 1 more than 200 cases have been reported predominantly affecting middle-aged men from Europe US and Japan. Histopathological features of the disease are cystic collections of mucinous material containing varying combinations of mucopolysaccharides and mucoproteins within the adventitial layer of the artery. The cysts exert extrinsic pressure on the arterial lumen which accounts for the clinical manifestations of chronic lower limb ischemia mainly intermittent claudication and limb pain with absent distal pulses. Its aetiology is uncertain with theories arguing about the possible degenerative embryonic or ganglionic nature

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