Cement fragment from hip arthroplasty causing deep femoral artery pseudoaneurysm

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.

Life-Threatening, Bleeding Pseudoaneurysm of the External Iliac Artery in the Setting of an Infected Total Hip Arthroplasty from Pasteurella multocida

“…Pseudoaneurysm of the external iliac artery is a well-described complication after THA with several documented case reports and series in the literature [ [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] ]. The most common proposed causes of these pseudoaneurysms are a malpositioned retractor, migration of acetabular cups, and even migrated cement fragmentation after placement of a cemented femoral stem [ 21 , 24 , 25 , 30 ].…”

Chronic Pseudoaneurysm and Anterior Dislocation After Total Hip Arthroplasty Complicated by Arterial Injury

“…The diagnosis of pseudoaneurysm was delayed because of a lack of any active extravasation on initial imaging, and the diagnosis was complicated by radiological concerns over the potential for a pseudotumour (ALVAL) formation in the region. It is unique due to the chronic nature of symptom presentation and the ability of a pseudoaneurysm to cause a mass effect ultimately causing a prosthetic hip dislocation [9][10][11][12] .…”