Early Recurrence of Cystic Adventitial Disease Following Cyst Excision and Bypass Surgery

Abstract

Introduction

Cystic adventitial disease (CAD) is a rare progressive disease. No treatment guidelines exist.

Report

A female with CAD in the external iliac artery (EIA) previously treated with cyst excision and bypass, presented with relapse. The CAD had recurred and the bypass occluded. We performed en-mass resection of CAD, EIA, and occluded graft, followed by ilio-ilial interposition graft.

Discussion

Various treatment options for CAD have been published. Leaving the affected arterial segment in situ is associated with high risk of recurrence. Resection of CAD appears essential in light of the progressive nature of the disease.