Citation: Contralateral acute lower limb ischaemia following total hip replacement
in a patient with an endovascular abdominal aortic aneurysm repair.
J Surg Case Rep. 2015;2015(3)
Authors: Brookes-Fazakerley SD, Thorpe P, Chan C, Jackson GE
Abstract: Total hip replacement (THR) is a common procedure to treat
patients with a fractured neck of femur. Ipsilateral major vessel injury with
acute lower limb ischaemia is a rare but potentially devastating complication.
Contralateral acute limb ischaemia is unreported. We present the case of a
contralateral, acute lower limb ischaemia following THR for a fractured neck of
femur in the presence of an endovascular aortic aneurysm repair (EVAR) and
femoro-femoral crossover grafts. We advise early vascular surgery consultation
for patients undergoing THR with an EVAR stentgraft in situ to help minimize
risks of peri- and postoperative graft occlusion and consequent acute lower limb
ischaemia.
PMID: 25742966 [PubMed]
Link to Pubmed record
