Avulsion injury to the profunda femoris artery after total hip arthroplasty.
Vascular injuries are a rare complication of total hip arthroplasty (THA). We describe the case of 71-year-old man who underwent an elective left THA and developed a pseudoaneurysm from an avulsion injury to the first branch of the profunda femoris artery. The patient underwent urgent open primary repair of the pseudoaneurysm and recovered without any complications. This case demonstrates the importance of assessing for vascular injuries after THA and of educating patients about the associated signs and symptoms.
Division of Vascular Surgery, University of Toronto, Toronto, Ontario, Canada.
Sandra
S
Huynh
Division of Vascular Surgery, University of Toronto, Toronto, Ontario, Canada.
Ahmed
A
Kayssi
Division of Orthopaedic Surgery, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada.
Kevin
K
Koo
Division of Vascular and Interventional Radiology, University of Toronto, Toronto, Ontario, Canada.
Dheeraj
D
Rajan
Division of Orthopaedic Surgery, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada.
Oleg
O
Safir
Division of Vascular Surgery, University of Toronto, Toronto, Ontario, Canada. Electronic address: thomas.forbes@uhn.ca.
Thomas L
TL
Forbes
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D000072226:Computed Tomography Angiography; D017558:Elective Surgical Procedures; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008297:Male; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery