title: Supported endograft limb occlusion likely occurring secondary to hip arthroplasty.
abstract: OBJECTIVE
  To report an acute endograft limb occlusion immediately subsequent to a total hip replacement.
  
  
  METHODS
  A 62-year-old man underwent successful placement of a bifurcated stent-graft for a 5-cm abdominal aortic aneurysm (AAA). Surveillance imaging documented a satisfactory outcome and no defects in the stent-graft. Three months after the endograft procedure, he underwent left total hip arthroplasty, at which time the left endograft limb acutely thrombosed. He was successfully treated with thrombectomy and dilation/stenting of the thrombosed graft limb.
  
  
  CONCLUSIONS
  Patients with aortoiliac stent-grafts need careful surveillance around the time of a procedure that may require extreme manipulation of the pelvis and hips. Even fully supported, widely patent endograft limbs may be vulnerable to acute thrombosis in this setting.
authors.affiliation: Department of Surgery, Division of Vascular Surgery, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania 19104, USA. ron.fairman@uphs.upenn.edu
authors.forename: Edward Y
authors.initials: EY
authors.lastname: Woo
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Zabinski
authors.forename: Ross
authors.initials: R
authors.lastname: Milner
authors.forename: Ronald M
authors.initials: RM
authors.lastname: Fairman
mesh_terms: D017544:Aortic Aneurysm, Abdominal / Q000601:surgery; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D001807:Blood Vessel Prosthesis; D006083:Graft Occlusion, Vascular / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents