Contralateral acute lower limb ischaemia following total hip replacement in a patient with an endovascular abdominal aortic aneurysm repair

Journal of Surgical Case Reports
Steven D Brookes-FazakerleyGillian E Jackson

Abstract

Total hip replacement (THR) is a common procedure to treat patients with a fractured neck of femur. Ipsilateral major vessel injury with acute lower limb ischaemia is a rare but potentially devastating complication. Contralateral acute limb ischaemia is unreported. We present the case of a contralateral, acute lower limb ischaemia following THR for a fractured neck of femur in the presence of an endovascular aortic aneurysm repair (EVAR) and femoro-femoral crossover grafts. We advise early vascular surgery consultation for patients undergoing THR with an EVAR stentgraft in situ to help minimize risks of peri- and postoperative graft occlusion and consequent acute lower limb ischaemia.

References

Jun 5, 2001·Journal of Vascular Surgery·R M FairmanC Barker

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Citations

May 20, 2018·BMJ Case Reports·Nadim TaraziAndrew Carrothers

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