title: False aneurysm of the left femoral artery and thrombosis of the left femoral vein after total hip arthroplasty.
abstract: We report a 75-year-old male patient with an aneurysm of the left femoral artery after cemented total hip arthroplasty. Two months after the operation, the patient showed a spherical resistance and pain in the left groin. Examination showed a big false aneurysm of the left femoral artery. After resection of the aneurysm, an endovascular stent graft vessel prosthesis was implanted. The aneurysm originated from a punctual lesion of the artery caused by a screw. Since the first description of vessel lesions in orthopaedic surgery in 1964, a total of 24 cases of aneurysm in hip surgery have been described. Therefore, a review of literature tries to explain causes and mechanisms of vessel injuries in hip surgery and the possibilities of repair.
authors.affiliation: Department of Orthopedic Surgery, University Hospital Frankfurt, Marienburgstrasse 2, 60528 Frankfurt am Main, Germany. d.proschek@friedrichsheim.de
authors.forename: D
authors.initials: D
authors.lastname: Proschek
authors.forename: P
authors.initials: P
authors.lastname: Proschek
authors.forename: K
authors.initials: K
authors.lastname: Hochmuth
authors.forename: J O
authors.initials: JO
authors.lastname: Balzer
authors.forename: M G
authors.initials: MG
authors.lastname: Mack
authors.forename: T J
authors.initials: TJ
authors.lastname: Vogl
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000209:etiology*; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D005263:Femoral Artery; D005268:Femoral Vein; D006801:Humans; D008297:Male; D020246:Venous Thrombosis / Q000209:etiology*