We report a case of a pseudoaneurysm of the medial circumflex femoral artery that presented 4 months following cementless left total hip arthroplasty (THA). A successful embolization was achieved using super-selective catheterization and coil embolization. Arterial complications associated with THA are remarkably rare. Endovascular techniques have been shown to be effective and are considered a valid alternative to conventional surgery.
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1. Dorr LD, Conaty JP, Kohl R, Harvey JP Jr. False aneurysm of the femoral artery following total hip surgery. J Bone Joint Surg Am 1974;56:1059-62.
2. Nachbur B, Meyer RP, Verkkala K, Zürcher R. The mechanisms of severe arterial injury in surgery of the hip joint. Clin Orthop Relat Res 1979;141:122-33.
3. Giacchetto J, Gallagher JJ. False aneurysm of the common femoral artery secondary to migration of a threaded acetabular component. A case report and review of the literature. Clin Orthop Relat Res 1988;231:91-6.
4. Ratliff AH. Arterial injuries after total hip replacement. J Bone Joint Surg Br 1985;67:517-8.
5. Lacroix H, du Bois NA, van Biezen FC. Dislocation of a total hip prosthesis by a false aneurysm. J Bone Joint Surg Br 1992;74:159-60.
6. Mallory TH, Jaffe SL, Eberle RW. False aneurysm of the common femoral artery after total hip arthroplasty. A case report. Clin Orthop Relat Res 1997;338:105-8.
7. Rossi FH, Izukawa NM, Silva DG, Chen J, Prakasan AK, Zamorano MM, et al. Effects of electrocautery to provoke endovascular thermal injury. Acta Cir Bras 2011;26:329-32.
8. Kroese A, Mollerud A. Traumatic aneurysm of the common femoral artery after hip endoprosthesis. Acta Orthop Scand 1975;46:119-22.
9. Tkaczuk H. False aneurysm of the external iliac artery following hip endoprosthesis. Acta Orthop Scand 1976;47:317-9.
10. Akizuki S, Terayama K, Kobayashi S. False aneurysm of the external iliac artery during total hip replacement. A case report. Arch Orthop Trauma Surg 1984;102:210-1.