Supported endograft limb occlusion likely occurring secondary to hip arthroplasty.
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.
Woo
Edward Y
EY
Department of Surgery, Division of Vascular Surgery, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania 19104, USA. ron.fairman@uphs.upenn.edu
Zabinski
Stephen J
SJ
Milner
Ross
R
Fairman
Ronald M
RM
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