False aneurysm of the left femoral artery and thrombosis of the left femoral vein after total hip arthroplasty.
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.
Proschek
D
D
Department of Orthopedic Surgery, University Hospital Frankfurt, Marienburgstrasse 2, 60528 Frankfurt am Main, Germany. d.proschek@friedrichsheim.de
Proschek
P
P
Hochmuth
K
K
Balzer
J O
JO
Mack
M G
MG
Vogl
T J
TJ
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*