April 1981

Adventitial Cystic Disease of the Popliteal Artery

Author Affiliations

From the Department of Surgery, University of Louisville (Ky) School of Medicine.

Arch Surg. 1981;116(4):478-479. doi:10.1001/archsurg.1981.01380160088020

• Adventitial cystic disease of the popliteal artery has been treated surgically in two patients. Both patients were young men, otherwise healthy, in whom disabling calf claudication developed. Arteriography demonstrated a crescentic defect in one patient and near-total midpopliteal occlusion in the other. Resection and a bypass graft resulted in complete relief of symptoms. This disease should be considered when examining a young person with claudication. The differential diagnosis of claudication in a young adult is primarily between this entity and popliteal artery entrapment syndrome.

(Arch Surg 1981;116:478-479)