Pseudo-aneurysm of the Lateral Circumflex Femoral Artery

Kakarala, Gopikrishna; Rensburg, Lee Van; Parker, Martyn J.

doi:10.1007/s00068-006-5017-5

Cited by 6 publications

(5 citation statements)

References 7 publications

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“…The literature review revealed only five cases with vascular injury of the lateral circumflex femoral artery. Four of them concern pseudoaneurysm formation after fixation of femoral neck fracture [ 8 - 11 ] and only one concerns an intertrochanteric fracture [ 12 ]. Vascular injury in the cases with femoral neck fracture was caused after the fracture fixation due to iatrogenic intervention, while in the intertrochanteric fracture case, the injury of the lateral circumflex femoral artery was caused by the lesser trochanter fragment.…”

Section: Discussionmentioning

confidence: 99%

Late-Onset Hematoma Due to Bleeding of a Small Branch of the Lateral Circumflex Femoral Artery Following Proximal Femur Intramedullary Nailing

Papaioannou¹,

Πανταζίδου²,

Repantis³

et al. 2022

Cureus

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Intramedullary nailing of proximal femur fracture is not deprived of complications, although vascular complications are very rare and a high index of suspicion is required for timely diagnosis. This case report describes how a late-onset hematoma formation and bleeding of a small branch of the lateral circumflex femoral artery can complicate intramedullary nailing after a pertrochanteric fracture. To the best of our knowledge, this complication has never been reported and should be considered among the possible vascular complications of intramedullary nailing. Orthopedic surgeons should be aware of the vascular complications that can occur even with late-onset presentation and even from small vessels, while administration of anticoagulants is an aggravating factor. Elderly patients with proximal femur fractures are more susceptible to vascular injury due to the structure of their vessels and the vicinity of the fracture to the arterial supply of the hip.

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Section: Discussionmentioning

confidence: 99%

Late-Onset Hematoma Due to Bleeding of a Small Branch of the Lateral Circumflex Femoral Artery Following Proximal Femur Intramedullary Nailing

Papaioannou¹,

Πανταζίδου²,

Repantis³

et al. 2022

Cureus

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“…The first case of a pseudoaneurysm in the LCFA secondary to the femoral neck fracture was reported in 2006 [ 5 ]. This case is similar to our own in presentation.…”

Section: Discussionmentioning

confidence: 99%

“…A pseudo-aneurysm of the LCFA secondary to a femoral neck fracture has been reported three times in the literature, with iatrogenic causes identified in two of those cases [ [4] , [5] , [6] , [7] ]. We report a second case of pseudo-aneurysm of the LCFA secondary to a femoral neck fracture.…”

Section: Introductionmentioning

confidence: 99%

Pseudo-aneurysm of the lateral circumflex femoral artery after femoral neck fracture – A case report

Carroll

Flavin

2020

Trauma Case Reports

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Only one case of injury of the lateral circumflex femoral artery secondary to a femoral neck fracture has been reported. We present a second case of this rare injury. A 59-year-old gentleman fell from an embankment, from approximately two meters in height, while landscaping and landed onto his left side. He suffered immediate pain in his left hip and was unable to weight bear. X-ray demonstrated a Garden II left femoral neck fracture. Within 24 of the injury, he underwent percutaneous internal fixation of his left hip using partially threaded cannulated screws. Two days post operatively, the patient described pain in his groin. X-ray was satisfactory and the pain was attributed to the fracture and subsequent surgery. However, this pain persisted, worsened and warranted further investigation. A doppler ultrasound, followed by a CT angiogram, confirmed a pseudoaneurysm of the lateral circumflex femoral artery which was treated with embolisation by the vascular surgery service. This relieved the patient's discomfort immediately. This is the second reported case of pseudo-aneurysm of the lateral circumflex femoral artery secondary to a femoral neck fracture.

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“…The incidence of vascular injury has been reported to be as low as 0.005% in elective orthopedic procedures 5 but is more often reported in the range of 0.1% to 0.3%. [6][7][8] Although any vessel may be affected, the most common vessel involved is the popliteal artery followed by the profunda, iliacs, common femoral, and superficial femoral. 5,6,9 The presentations of iatrogenic vascular injury are equally varied and include intraoperative bleeding, acute ischemia, distal pulse deficit/change, bruit, thrill, expanding hematoma, limb edema, and nonhealing wounds.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Repair of Femoral Artery Pseudoaneurysm After Orthopedic Surgery With Balloon-Expandable Covered Stents

Eslami

Silvia

2008

Vasc Endovascular Surg

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Pseudo-aneurysm of the Lateral Circumflex Femoral Artery

Abstract: We describe an unusual case of pseudo-aneurysm of the lateral circumflex femoral artery following fixation of an undisplaced intracapsular neck of femur fracture. We highlight the need for a high index of suspicion and the value of angiography as the investigation of choice.

Cited by 6 publications

References 7 publications

Late-Onset Hematoma Due to Bleeding of a Small Branch of the Lateral Circumflex Femoral Artery Following Proximal Femur Intramedullary Nailing

Late-Onset Hematoma Due to Bleeding of a Small Branch of the Lateral Circumflex Femoral Artery Following Proximal Femur Intramedullary Nailing

Pseudo-aneurysm of the lateral circumflex femoral artery after femoral neck fracture – A case report

Endovascular Repair of Femoral Artery Pseudoaneurysm After Orthopedic Surgery With Balloon-Expandable Covered Stents

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