Avascular necrosis superimposed on Legg-Calvé-Perthes disease in a cardiac transplant patient.
The pathogenesis of both Legg-Calvé-Perthes disease (LCPD) and avascular necrosis (AVN) remains controversial. Evidence suggests, however, that both conditions are produced by vascular compromise in the femoral head. A patient with a previous history of LCPD at age eight subsequently developed AVN at age 46 after having a cardiac transplant for ischemic cardiomyopathy. A review of the past ten years' literature disclosed no reports of similar cases.
Bradbury
G
G
Section of Orthopedic Surgery, University of Arizona Health Sciences Center, Tucson.
Benjamin
J
J
Klees
E
E
Copeland
J
J
D005270:Femur Head / Q000473:pathology; D005271:Femur Head Necrosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D016027:Heart Transplantation; D006622:Hip Prosthesis; D006801:Humans; D007873:Legg-Calve-Perthes Disease / Q000150:complications*; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011859:Radiography