Contralateral acute lower limb ischaemia following total hip replacement in a patient with an endovascular abdominal aortic aneurysm repair.
Total hip replacement (THR) is a common procedure to treat patients with a fractured neck of femur. Ipsilateral major vessel injury with acute lower limb ischaemia is a rare but potentially devastating complication. Contralateral acute limb ischaemia is unreported. We present the case of a contralateral, acute lower limb ischaemia following THR for a fractured neck of femur in the presence of an endovascular aortic aneurysm repair (EVAR) and femoro-femoral crossover grafts. We advise early vascular surgery consultation for patients undergoing THR with an EVAR stentgraft in situ to help minimize risks of peri- and postoperative graft occlusion and consequent acute lower limb ischaemia.
Wirral University Teaching Hospital NHS Foundation Trust, Wirral, Merseyside, UK sbrookesfazakerley@yahoo.co.uk.
Steven D
SD
Brookes-Fazakerley
Wirral University Teaching Hospital NHS Foundation Trust, Wirral, Merseyside, UK.
Philippa
P
Thorpe
Wirral University Teaching Hospital NHS Foundation Trust, Wirral, Merseyside, UK.
Colin
C
Chan
Wirral University Teaching Hospital NHS Foundation Trust, Wirral, Merseyside, UK.
Gillian E
GE
Jackson