title: Iliac artery pseudoaneurysm rupture following excision of an infected hip prosthesis.
abstract: We report a case of external iliac artery aneurysm rupture during removal of the acetabular component for septic loosening. Potentially fatal hemorrhage would have occurred if the risk had not been recognized, and the external iliac vessels exposed to gain vascular control before proceeding with implant removal. A review of the literature on vascular injury at revision hip surgery is presented.
authors.affiliation: Department of Orthopedics, Mayo Clinic, Phoenix, AZ 85054, USA.
authors.forename: George H
authors.initials: GH
authors.lastname: Smith
authors.forename: Richard W
authors.initials: RW
authors.lastname: Nutton
authors.forename: Simon C
authors.initials: SC
authors.lastname: Fraser
mesh_terms: D000368:Aged; D017541:Aneurysm, False; D017542:Aneurysm, Ruptured / Q000209:etiology* / Q000601:surgery; D000792:Angiography; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation*; D020878:Device Removal / Q000009:adverse effects*; D005260:Female; D006470:Hemorrhage / Q000453:epidemiology / Q000517:prevention & control; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery; D006622:Hip Prosthesis / Q000382:microbiology*; D006801:Humans; D017543:Iliac Aneurysm; D007083:Iliac Artery / Q000000981:diagnostic imaging; D016459:Prosthesis-Related Infections / Q000150:complications*; D012307:Risk Factors; D012501:Saphenous Vein / Q000637:transplantation; D013203:Staphylococcal Infections / Q000150:complications; D013212:Staphylococcus epidermidis / Q000302:isolation & purification; D016896:Treatment Outcome; D058017:Vascular Grafting / Q000379:methods