Ruptured Pseudoaneurysm of Branch of Profunda Femoral Artery during Revision Total Hip Arthroplasty: a Case Report Case report for rupture pseudoaneurysm of branch of Profunda Femoral Artery during Revision Total Hip Arthroplasty

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Published: Dec 22, 2023
DOI: https://doi.org/10.14456/vmj.2023.28
Keywords:
profunda femoral artery revision total hip arthroplasty rupture pseudoaneurysm

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Pichayut Wattanapreechanon
Department of Orthopaedics, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok 10300, Thailand; Medical Instruments and Operating Room Technology, Faculty of Science and Health Technology, Navamindradhiraj University, Bangkok 10300, Thailand
https://orcid.org/0009-0008-7139-3039
Natthapong Hongku
Department of Orthopaedics, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok 10300, Thailand
https://orcid.org/0000-0002-0220-8505

Abstract

A ruptured pseudoaneurysm is a rare but potentially fatal complication during revision total hip arthroplasty. We report a case of a 46-year-old female with a rupture of a pseudoaneurysm at the branch of the left profunda femoral artery during revision total hip arthroplasty. The patient presented with dislocation of the left total hip arthroplasty, which failed closed reduction. During the revision surgery, a massive pulsatile bleeding occurred, which required an emergent vascular surgeon consultation to repair the ruptured pseudoaneurysm. It was later confirmed to be located at the branch of the left profunda femoral artery. Although rare, we recommend performing pre-operative CT angiography and consulting with a vascular surgeon before attempting revision total hip arthroplasty in patients with atypical symptoms, such as unusual thigh swelling and unexplained anemia.

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How to Cite
Wattanapreechanon, P., & Hongku, N. (2023). Ruptured Pseudoaneurysm of Branch of Profunda Femoral Artery during Revision Total Hip Arthroplasty: a Case Report: Case report for rupture pseudoaneurysm of branch of Profunda Femoral Artery during Revision Total Hip Arthroplasty. Vajira Medical Journal : Journal of Urban Medicine, 67(4), 641–646. https://doi.org/10.14456/vmj.2023.28
Issue
Vol. 67 No. 4 (2023): Oct- Dec 2023
Section
Case Report
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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