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. 2013 Jan;47(1):101-3.
doi: 10.4103/0019-5413.106929.

Posttraumatic pseudoaneurysm of popliteal artery following total knee arthroplasty

Sanjay R Agarwala  1 , Ganesh S Mohrir, Sharukh J Dotivala
Affiliations

Posttraumatic pseudoaneurysm of popliteal artery following total knee arthroplasty

Sanjay R Agarwala et al. Indian J Orthop. 2013 Jan.

Abstract

We report a case of posttraumatic false aneurysm of popliteal artery after a total knee arthroplasty in an 82-year-old woman. This case is characterized by the distinct history of trauma to the popliteal fossa in the immediate postoperative period and the location of false aneurysm. In addition, the clinical symptoms were similar to those of deep vein thrombosis. The ultrasonographic examination and computed tomography (CT) angiography confirmed the diagnosis on 6(th) day after the surgery. Ultrasonographic examination 1 day later revealed no increase in the size of false aneurysm. She was treated with open surgical repair. Presenting the difficulty in the diagnosis, unusual location, etiology, and its management is the intention of this case report.

Keywords: Total knee arthroplasty; popliteal artery; pseudoaneurysm.

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Conflict of interest statement

Conflict of Interest: None

Figures

Figure 1
Figure 1
(a) Postoperative anteroposterior (a) lateral (b) view X-ray of right total knee arthroplasty showing implant in situ
Figure 2
Figure 2
(a) Color Doppler imaging with arrow showing pseudoaneurysm. (b) Color Doppler imaging popliteal artery flow pattern across the pseudoaneurysm
Figure 3a
Figure 3a
CT scan with arrow showing location of pseudoaneurysm (posterior)
Figure 3b
Figure 3b
CT angiography of both lower limbs with distal runoffs and good vascularity
See this image and copyright information in PMC

References

    1. Sloan K, Mofidi R, Nagy J, Flett MM, Chakraverty S. Endovascular treatment for traumatic popliteal artery pseudoaneurysms after knee arthroplasty. Vasc Endovascular Surg. 2009;43:286–90. - PubMed
    1. O’Connor JV, Stocks G, Crabtree JD, Jr, Galasso P, Wallsh E. Popliteal pseudoaneurysm following total knee arthroplasty. J Arthroplasty. 1998;13:830–2. - PubMed
    1. Ninomiya JT, Dean JC, Goldberg VM. Injury to the popliteal artery and its anatomic location in total knee arthroplasty. J Arthroplasty. 1999;14:803–9. - PubMed
    1. Calligaro KD, Dougherty MJ, Ryan S, Booth RE. Acute arterial complications associated with total hip and knee arthroplasty. J Vasc Surg. 2003;38:1170–7. - PubMed
    1. Karkos CD, Thomson GJ, D’Souza SP, Prasad V. False aneurysm of the popliteal artery: A rare complication of total knee replacement. Knee Surg Sports Traumatol Arthrosc. 2000;8:53–5. - PubMed

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