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Case Reports
. 2020 Nov 4;6(4):906-910.
doi: 10.1016/j.artd.2020.09.004. eCollection 2020 Dec.

Left Profunda Femoral Artery Pseudoaneurysm After Revision Total Hip Arthroplasty

Steven Baker  1 , Mary Kathryn Huddleston  2 , Tyler M Goodwin  1 , Ryan Voskuil  1 , Case Sanders  1
Affiliations
Case Reports

Left Profunda Femoral Artery Pseudoaneurysm After Revision Total Hip Arthroplasty

Steven Baker et al. Arthroplast Today. .

Erratum in

Abstract

We present a case report of an 84-year-old male who presented with a profunda femoris artery (PFA) pseudoaneurysm 8 years after the index revision total hip arthroplasty procedure. Failure of revision hardware and subsequent migration of implants led to damage of the PFA and pseudoaneurysm formation. The patient was hemodynamically unstable on presentation and required emergent endovascular intervention. Once medically stabilized, the patient underwent extensive debridement of the aneurysm and hematoma bed and broken hardware was removed to prevent further complications. At 6-month follow-up, the patient was able to mobilize independently and had returned to all prior levels of activities of daily living. We discuss the vascular anatomy of the hip, the paucity of literature on PFA pseudoaneurysm, as well as the likely etiology of total hip arthroplasty failures.

Keywords: Aneurysm; Revision; Total hip arthroplasty.

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Figures

Figure 1
Figure 1
(a)Axial view of the preoperative CT angiogram demonstrating pseudoaneurysm. (b) Coronal view of the preoperative CT angiogram demonstrating pseudoaneurysm. (c) Sagittal view of the preoperative CT angiogram demonstrating pseudoaneurysm.
Figure 2
Figure 2
(a) Anteroposterior arteriogram of the left hip demonstrating pseudoaneurysm of the profunda femoris artery. (b) Lateral arteriogram of the left hip demonstrating pseudoaneurysm of the profunda femoris artery.
Figure 3
Figure 3
Arteriogram of the left hip demonstrating endovascular repair of the profunda femoris artery.
Figure 4
Figure 4
(a) Preoperative anteroposterior radiograph of the left hip demonstrating hardware failure with migration. (b) Preoperative lateral radiograph of the left hip left hip radiograph demonstrating hardware failure with migration.
Figure 5
Figure 5
Photograph of removed hardware.
Figure 6
Figure 6
(a) Postoperative anteroposterior radiograph of the left hip. (b) Postoperative lateral radiograph demonstrating removal of hardware, debridement, and local antibiotic placement.
See this image and copyright information in PMC

References

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