Cement fragment from hip arthroplasty causing deep femoral artery pseudoaneurysm

Asian Cardiovasc Thorac Ann. 2017 Nov;25(9):633-634. doi: 10.1177/0218492317732251. Epub 2017 Sep 14.

Abstract

An 81-year-old woman who had undergone total hip arthroplasty 12 years earlier presented with a painful spontaneous hematoma in the proximal left thigh. A left hip radiograph showed a displaced cement fragment from the acetabular component of the hip prosthesis. Computed tomography confirmed an extruded cement fragment causing a large pseudoaneurysm of the deep femoral artery. The patient underwent successful percutaneous embolization of the pseudoaneurysm with coils.

Keywords: Aneurysm; Arthroplasty; Bone cement; Femoral artery; Foreign-body migration; Hematoma; false; hip; replacement.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Aneurysm, False / diagnostic imaging
  • Aneurysm, False / etiology*
  • Aneurysm, False / therapy
  • Angiography, Digital Subtraction
  • Arthroplasty, Replacement, Hip / adverse effects*
  • Bone Cements / adverse effects*
  • Computed Tomography Angiography
  • Embolization, Therapeutic / instrumentation
  • Female
  • Femoral Artery* / diagnostic imaging
  • Foreign-Body Migration / diagnostic imaging
  • Foreign-Body Migration / etiology*
  • Foreign-Body Migration / therapy
  • Humans
  • Time Factors
  • Treatment Outcome

Substances

  • Bone Cements