Pseudoaneurysm of the external iliac artery after total hip arthroplasty – a case report

BACKGROUND: Delayed arterial injury after total hip arthroplasty is unusual and the consequences of this complication are serious and potentially life threatening. CASE REPORT: We present a case of pseudoaneurysm of the external iliac artery occurring 6 years after total hip replacement revision...

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Main Authors: Renata Vaz, Timmy Toledo, Luís Pinheiro, Anaísa Silva, Fernando Artur
Format: Article
Language:Portuguese
Published: Sociedade Portuguesa de Angiologia e Cirurgia Vascular 2023-11-01
Series:Angiologia e Cirurgia Vascular
Subjects:
Online Access:https://acvjournal.com/index.php/acv/article/view/539
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author Renata Vaz
Timmy Toledo
Luís Pinheiro
Anaísa Silva
Fernando Artur
author_facet Renata Vaz
Timmy Toledo
Luís Pinheiro
Anaísa Silva
Fernando Artur
author_sort Renata Vaz
collection DOAJ
description BACKGROUND: Delayed arterial injury after total hip arthroplasty is unusual and the consequences of this complication are serious and potentially life threatening. CASE REPORT: We present a case of pseudoaneurysm of the external iliac artery occurring 6 years after total hip replacement revision due to infected acetabular cup protrusion. Due to the presence of prosthetic infection, the patient was managed with urgent ligation of external iliac artery and femoro-femoral bypass. Afterwards, a Girdlestone procedure was performed. This was selected according to patient comorbidities and previous interventions. The patient recovered ambulatory function and no late complications were observed. CONCLUSION: This report suggests that a careful and long-term follow-up of patients who have undergone hip surgery should be considered, as well as patient information regarding possible late complications. Moreover, treatment decision must be made according to patient circumstances, resources available and surgical experience.
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spelling doaj.art-b292a70d5d714efcbaa1ed4406c6006d2023-11-26T10:48:18ZporSociedade Portuguesa de Angiologia e Cirurgia VascularAngiologia e Cirurgia Vascular1646-706X2183-00962023-11-0119310.48750/acv.539Pseudoaneurysm of the external iliac artery after total hip arthroplasty – a case reportRenata Vaz0Timmy Toledo1Luís Pinheiro2Anaísa Silva3Fernando Artur4Orthopedics Department. Hospital Prof. Doutor Fernando Fonseca, Amadora, PortugalVascular Surgery Department. Hospital do Santo Espírito da Ilha Terceira, Açores, PortugalOrthopedics Department. Hospital do Santo Espírito da Ilha Terceira, Açores, PortugalGeneral Surgery Department. Hospital do Santo Espírito da Ilha Terceira, Açores, PortugalOrthopedics Department. Hospital do Santo Espírito da Ilha Terceira, Açores, Portugal BACKGROUND: Delayed arterial injury after total hip arthroplasty is unusual and the consequences of this complication are serious and potentially life threatening. CASE REPORT: We present a case of pseudoaneurysm of the external iliac artery occurring 6 years after total hip replacement revision due to infected acetabular cup protrusion. Due to the presence of prosthetic infection, the patient was managed with urgent ligation of external iliac artery and femoro-femoral bypass. Afterwards, a Girdlestone procedure was performed. This was selected according to patient comorbidities and previous interventions. The patient recovered ambulatory function and no late complications were observed. CONCLUSION: This report suggests that a careful and long-term follow-up of patients who have undergone hip surgery should be considered, as well as patient information regarding possible late complications. Moreover, treatment decision must be made according to patient circumstances, resources available and surgical experience. https://acvjournal.com/index.php/acv/article/view/539iliac arterypseudoaneurysmotal hip arthroplastylatrogenic disease
spellingShingle Renata Vaz
Timmy Toledo
Luís Pinheiro
Anaísa Silva
Fernando Artur
Pseudoaneurysm of the external iliac artery after total hip arthroplasty – a case report
Angiologia e Cirurgia Vascular
iliac artery
pseudoaneurysm
otal hip arthroplasty
latrogenic disease
title Pseudoaneurysm of the external iliac artery after total hip arthroplasty – a case report
title_full Pseudoaneurysm of the external iliac artery after total hip arthroplasty – a case report
title_fullStr Pseudoaneurysm of the external iliac artery after total hip arthroplasty – a case report
title_full_unstemmed Pseudoaneurysm of the external iliac artery after total hip arthroplasty – a case report
title_short Pseudoaneurysm of the external iliac artery after total hip arthroplasty – a case report
title_sort pseudoaneurysm of the external iliac artery after total hip arthroplasty a case report
topic iliac artery
pseudoaneurysm
otal hip arthroplasty
latrogenic disease
url https://acvjournal.com/index.php/acv/article/view/539
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AT luispinheiro pseudoaneurysmoftheexternaliliacarteryaftertotalhiparthroplastyacasereport
AT anaisasilva pseudoaneurysmoftheexternaliliacarteryaftertotalhiparthroplastyacasereport
AT fernandoartur pseudoaneurysmoftheexternaliliacarteryaftertotalhiparthroplastyacasereport