Incidental Finding Of Pseudo Aneurysm Of Superficial Femoral Artery And Severe Life-Threatening Bleeding From it During Revision Surgery For Failed Implant: A Case Report

  • K K Varma
  • H.S. Bisoniya
  • Shashank Agarwal
  • Sandeep Sharma
Keywords: Pseudoaneurysms, synovectomy, arthroscopic procedures

Abstract

Arterial pseudoaneurysm formation is a rare entity following elective and trauma orthopaedic surgery. Pseudoaneurysms have been reported to occur following total knee arthroplasty, synovectomy and arthroscopic procedures. Here we report a case in which we encountered heavy bleeding while reoperating a case of the broken plate from the operated # shaft femur. On exploration, it was found that there was a pseudoaneurysm in the femoral artery size of rent 3mm, which probably was formed in his first surgery, which incidentally gave way and bled profusely.

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References

1. Rossi G, Mavrogenis A, Angelini A, Rimondi E, Battaglia M, Ruggieri P. Vascular complications in orthopaedic surgery. J Long Term Eff Med Implants. 2011;21(2):127-37. doi: 10.1615/jlongtermeffmedimplants.v21.i2.30.

2. Kim JW, Lee JI, Park KC. Pseudoaneurysm of the deep femoral artery caused by a guide wire following femur intertrochanteric fracture with a hip nail: A case report. Acta Orthop Traumatol Turc. 2017 May;51(3):266-269. doi: 10.1016/j.aott.2017.03.011.

3. Shaw A, Stephen A, Lund J, Bungay P, Denunzio M. Geniculate arterial pseudoaneurysm formation following trauma and elective orthopaedic surgery to the knee: 2 case reports and a review of the literature. J Radiol Case Rep. 2009;3(3):12-6. doi: 10.3941/jrcr.v3i3.42.

4. Preuss, Fletcher R., Michael M. Hadeed, and David B. Weiss. Delayed vascular complications after orthopaedic surgery: A report of two cases and review of the literature." Journal of Orthopaedics, Trauma and Rehabilitation 26.1 (2019): 48-51.

5. Dhal A, Chadha M, Lal H, Singh T, Tyagi S. Encounters with pseudoaneurysms in orthopaedic practice. Injury. 2001 Dec;32(10):771-8. doi: 10.1016/s0020-1383(01)00094-8.

6. Inamdar D, Alagappan M, Shyam L, Devadoss S, Devadoss A. Pseudoaneurysm of anterior tibial artery following tibial nailing: a case report. J Orthop Surg (Hong Kong). 2005 Aug;13(2):186-9. doi: 10.1177/230949900501300216.

7. Coupe KJ, Beaver RL. Arterial injury during retrograde femoral nailing: a case report of injury to a branch of the profunda femoris artery. J Orthop Trauma. 2001 Feb;15(2):140-3. doi: 10.1097/00005131-200102000-00013.

8. Toyota T, Horiuchi H, Takizawa T, Yamazaki I, Matsunaga D, Nakamura Y, et al. A case of femoral pseudoaneurysm after surgery for intertrochanteric fracture. J Orthop Sci. 2017 Mar;22(2):362-365. doi: 10.1016/j.jos.2015.07.003.

9. Chan WS, Kong SW, Sun KW, Tsang PK, Chow HL. Pseudoaneurysm and intramuscular haematoma after dynamic hip screw fixation for intertrochanteric femoral fracture: a case report. J Orthop Surg (Hong Kong). 2010 Aug;18(2):244-7. doi: 10.1177/230949901001800222.

10. Yang KH, Park HW, Park SJ. Pseudoaneurysm of the superficial femoral artery after closed hip nailing with a Gamma nail: report of a case. J Orthop Trauma. 2002 Feb;16(2):124-7. doi: 10.1097/00005131-200202000-00009.

11. Kragh JF Jr, Walters TJ, Baer DG, Fox CJ, Wade CE, Salinas J, et al. Practical use of emergency tourniquets to stop bleeding in major limb trauma. J Trauma. 2008 Feb;64(2 Suppl):S38-49; discussion S49-50. doi: 10.1097/TA.0b013e31816086b1.

12. Kronzon I. Diagnosis and treatment of iatrogenic femoral artery pseudoaneurysm: a review. J Am Soc Echocardiogr. 1997 Apr;10(3):236-45. doi: 10.1016/s0894-7317(97)70061-0. Erratum in: J Am Soc Echocardiogr 1997 Jun;10(5):30A-31.
How to Cite
K K Varma, H.S. Bisoniya, Shashank Agarwal, & Sandeep Sharma. (2022). Incidental Finding Of Pseudo Aneurysm Of Superficial Femoral Artery And Severe Life-Threatening Bleeding From it During Revision Surgery For Failed Implant: A Case Report. Surgical Review: International Journal of Surgery, Trauma and Orthopedics, 8(6), 29-34. Retrieved from https://surgical.medresearch.in/index.php/ijoso/article/view/263
Section
Case Report