Pseudoaneurysm of the profunda femoris artery following hip surgery
DOI:
https://doi.org/10.18203/2349-2902.isj20231747Keywords:
Pseudoaneurysm, Profunda femoris artery, Endovascular glue embolizationAbstract
Pseudoaneurysm of the profunda femoris artery has been described as an iatrogenic phenomenon following orthopedic surgery. It may result due to trauma or direct arterial wall injury during dynamic hip screw fixation for proximal femur fracture. We present a case of a 65-year-old female who developed sudden pain and left thigh swelling one month after surgery for left sided intertrochanteric femur fracture. Computed tomography angiography of the left lower limb revealed the presence of a pseudoaneurysm in the upper left thigh. It was successfully treated with endovascular glue embolization followed by surgical excision of the pseudoaneurysm.
References
Schwartz LB, Clark ET, Gewertz BL. Anastomotic and other pseudoaneurysms, in: R.B. Rutherford (Ed.), Vascular Surgery, 5th ed., Saunders, Philadelphia, Pa. 2000;752-63
Gross KA. Ultrasonographic diagnosis and guided compression repair of femoral artery pseudoaneurysm: an update for the vascular nurse. J Vasc Nurs. 1999;17(3)59-64.
Zhang BF, Cong YX, Wang PF, Huang H, Wang H, Zhuang Y. Deep femoral artery branch pseudoaneurysm formation and injury after hip fracture surgery: A case series and a literature review. Medicine (Baltimore). 2018;97(6):e9872.
Pandey NN, Raju SN, Rajagopal Rl. Iatrogenic profunda femoris artery pseudoaneurysm: late presentation with successful endovascular microcoi embolization. BMJ Case Rep 2018;11:e228314.
Roy KD, Aggarwal RA, Purohit S, Bandagi G, Marathe N. Iatrogenic Pseudo-aneurysm of Profunda Femoris Artery Following Fixation of Intertrochanteric Femur Fracture - A Case Report and Review of Literature. J Clin Diagn Res. 2016;10(3):RD01-3.
Dhal A, Chadha M, Lal H, Singh T, Tyagi S. Encounters with pseudoaneurysms in orthopaedic practice. Injury. 2001;32(10):771-778.
Bowden S, Jaberi A, Roche-Nagle G. Large pseudoaneurysm arising from the deep femoral artery after hip fracture fixation. J Surg Case Rep. 2020;2020(10):rjaa408.
Tathe P, Sah S, Jain P, Mittal A, Arora C. Neglected fracture shaft femur presenting with pseudoaneurysm-a case report. Int J Res Orthop. 2023;9:446-9.
Middleton WD, Dasyam A, Teefey SA. Diagnosis and treatment of iatrogenic femoral artery pseudoaneurysms. Ultrasound Q. 2005;21(1):3-17.