Profunda Femoris Pseudoaneurysm following Total Hip Arthroplasty Revision

Case Reports in Orthopedics
Katharine HarperEaswaran Balasubramanian

Abstract

Vascular injuries following total hip arthroplasty (THA) are very rare, with pseudoaneurysm being a small subset. We report a case of profunda femoris artery (PFA) pseudoaneurysm in a 61-year-old male following a posterior approach revision left THA. Presentation involved continued blood transfusion requirements several weeks postoperatively. Diagnosis of the pseduoaneurysm was made by contrast CT of the lower extremity, with confirmation via IR angiography. Successful embolization was achieved with selective coiling and Gelfoam. Presenting complaints of such complications are often vague and therefore lead to delayed diagnosis. Causes of such complications are not completely understood, particularly with PFA injuries in THA. Possible mechanisms are discussed in this paper. Vascular complications following THA can be difficult to diagnose. High suspicion in the setting of continued postoperative pain or bleeding may allow prompt diagnosis and avoidance of serious limb-threatening complications.

References

Jul 23, 1976·Archiv Für Orthopädische Und Unfall-Chirurgie·E G SurenK H Leitz
Apr 1, 1983·Acta Orthopaedica Scandinavica·D BergqvistB F Ericsson
Oct 1, 1995·The Journal of the American Academy of Orthopaedic Surgeons·R H Fitzgerald
Jul 7, 2000·The Journal of Arthroplasty·V SethuramanR H Rothman
Aug 26, 2000·The Journal of Arthroplasty·M NozawaH Kurosawa
Aug 30, 2000·The Journal of Bone and Joint Surgery. British Volume·E GautierR Ganz
Aug 9, 2005·The Journal of Bone and Joint Surgery. American Volume·Kevin J Bozic, Michael D Ries
Nov 8, 2005·The Journal of the American Academy of Orthopaedic Surgeons·Alejandro González Della ValleEduardo A Salvati
Jul 28, 2007·International Orthopaedics·P Paillard
Oct 26, 2007·Annals of the Royal College of Surgeons of England·J Joris Hage
Sep 10, 2008·Strategies in Trauma and Limb Reconstruction·Koray UnayArzu Poyanli
Apr 1, 2009·Orthopaedics & Traumatology, Surgery & Research : OTSR·G RiouallonJ Allain
Dec 21, 2011·Journal of Orthopaedic Surgery·Markus MellohChristoph Roder
Jul 24, 2013·World Journal of Orthopedics·Federico ValliDomenico Prestamburgo
Mar 20, 2014·Acta orthopaedica et traumatologica turcica·Serhat MutluMahir Mahiroğulları
Aug 27, 2014·The Journal of the American Academy of Orthopaedic Surgeons·Zachary D PostAlvin Ong

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Methods Mentioned

BETA
X-ray
total hip arthroplasty
total hip

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