Cystic Adventitial Disease of the Popliteal Vein: A Case Report. (February 2023)

• Record Type: Journal Article
• Authors: Jing, Zongxu; Zhang, Changming; LI, Xiangtao; Zhang, Huan; Niu, Luyuan; Feng, Yaping; Liu, Yong; Yue, Yunlong; Du, Xuemei; Luo, Xiaoyun
• Is Part Of: Vascular & endovascular surgery. Volume 57:Number 2(2023)
• Page Start: 164
• Page End: 168
• Publication Date: 2023-02
• Subjects: cystic adventitial disease -- popliteal vein -- magnetic resonance angiography; Blood-vessels -- Surgery -- Periodicals; Blood-vessels -- Endoscopic surgery -- Periodicals; Vascular Surgical Procedures -- Periodicals; Angioplasty -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Vascular Diseases -- surgery -- Periodicals; Vaisseaux sanguins -- Chirurgie -- Périodiques; Vaisseaux sanguins -- Chirurgie endoscopique -- Périodiques; 617.41
• DOI: 10.1177/15385744221130842
• Languages: English
• ISSNs: 1538-5744

Abstract

Venous cystic adventitial disease (VCAD) is a rare vascular anomaly located in the common femoral vein in most cases. We describe the case of a 59-year-old female patient with right leg edema who was misdiagnosed with deep vein thrombosis of the lower extremity at another hospital. Magnetic resonance angiography revealed a round mass in the popliteal vein, with a narrow lumen. Considering the location of the lesion, absence of a history of deep venous thrombosis and trauma, and clinical manifestations, the diagnosis is likely a popliteal vein adventitial cyst. Segmental popliteal vein resection and reconstruction were performed using a cylindrical great saphenous vein graft. No joint connection was found during the operation, and the postoperative pathology confirmed VCAD.