Supported Endograft Limb Occlusion Likely Occurring Secondary to Hip Arthroplasty

Abstract

Purpose:

To report an acute endograft limb occlusion immediately subsequent to a total hip replacement.

Case Report:

A 62-year-old man underwent successful placement of a bifurcated stent-graft for a 5-cm abdominal aortic aneurysm (AAA). Surveillance imaging documented a satisfactory outcome and no defects in the stent-graft. Three months after the endograft procedure, he underwent left total hip arthroplasty, at which time the left endograft limb acutely thrombosed. He was successfully treated with thrombectomy and dilation/stenting of the thrombosed graft limb.

Conclusions:

Patients with aortoiliac stent-grafts need careful surveillance around the time of a procedure that may require extreme manipulation of the pelvis and hips. Even fully supported, widely patent endograft limbs may be vulnerable to acute thrombosis in this setting.

Keywords

abdominal aortic aneurysm endovascular repair hip arthroplasty complication stent-graft graft limb thrombosis

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