Adventitial Cystic Disease of the Axillary Artery |
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Authors: | Eric A Elster Stanley Hewlett Damian P DeRienzo Sean Donovan Jeff Georgia Chester C Yavorski |
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Institution: | (1) Department of Surgery, The National Naval Medical Center, Bethesda, MD, US;(2) Department of Pathology, The National Naval Medical Center, Bethesda, MD, US;(3) Department of Radiology, The National Naval Medical Center, Bethesda, MD, US |
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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. |
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