False aneurysm of the deep femoral artery as a complication of intertrochanteric fracture of the hip: options of open and endovascular repairs.
A quarter of all intertrochanteric fractures are unstable with a fractured lesser trochanter. Mostly these fractures are treated with a gamma nail fixation. A rare complication of this treatment is a false aneurysm of the femoral artery. The authors present 2 cases of a false aneurysm of the femoral artery in association with intertrochanteric fractures. Because of its nonspecific symptoms, a false aneurysm is difficult to diagnose. A computed tomography angiography or duplex should be used to confirm the diagnosis and evaluate the options for treatment. Surgery is the preferred treatment in the case of a large aneurysm, whereas endovascular repair is preferred for smaller aneurysms.
Kizilates
Ufuk
U
Diakonessenhuis Utrecht, Utrecht, Netherlands. u.kizilates@gmail.com
Nagesser
Suresh K
SK
Krebbers
Yvonne M J
YM
Sonneveld
D J A
DJ
D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D001858:Bone Nails; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery; D005593:Fracture Fixation, Internal / Q000009:adverse effects* / Q000295:instrumentation; D006620:Hip Fractures / Q000150:complications / Q000601:surgery*; D006801:Humans; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures