title: Infected Iliac Pseudoaneurysm after Cardiac Catheterization Complicated by Girdlestone Pseudoarthroplasty for Recurrent Infection of Hip Prosthesis.
abstract: We report a massive infected pseudoaneurysm of the right external iliac artery in the setting of Girdlestone pseudoarthroplasty (GSA) for chronic infection. Around the time of her GSA, the patient underwent cardiac catheterization with resultant pseudoaneurysm formation. Infection was likely due to spread from her previous chronic infection. Delay in presentation occurred due to attribution of her symptoms to her GSA. The patient underwent ligation of the right external iliac artery and hip disarticulation and was discharged on antibiotics. At follow-up, she had significantly reduced pain. Although vascular complications from orthopedic procedures are well described, this case seems to have been caused by secondary infection of her iatrogenic external iliac artery pseudoaneurysm.
authors.affiliation: Department of Surgery, Saint Louis University, St. Louis, MO. Electronic address: ChristopherHorn@slu.edu.
authors.forename: Christopher
authors.initials: C
authors.lastname: Horn
authors.affiliation: Saint Louis University School of Medicine, St. Louis, MO.
authors.forename: Victoria
authors.initials: V
authors.lastname: Wang
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Saint Louis University, St. Louis, MO.
authors.forename: Michael
authors.initials: M
authors.lastname: Williams
authors.affiliation: Division of Vascular Surgery, Department of Surgery, Saint Louis University, St. Louis, MO.
authors.forename: Donald
authors.initials: D
authors.lastname: Jacobs
mesh_terms: D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects* / Q000295:instrumentation; D006328:Cardiac Catheterization / Q000009:adverse effects*; D000072226:Computed Tomography Angiography; D020878:Device Removal / Q000009:adverse effects*; D004188:Disarticulation; D005260:Female; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D007049:Iatrogenic Disease; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D008026:Ligation; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D012008:Recurrence; D012307:Risk Factors; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents