A Case of External Iliac Artery Occlusion after Total Hip Arthroplasty

(Department of Surgery, Yamagata Prefectural Shinjo Hospital, Shinjo, Japan)

Tomoharu Ishiyama Keitaro Inazawa
A case of external iliac artery occlusion after total hip arthroplasty (THA) is reported. A 65-year-old man had undergone a left THA 8 years previously. He had intermittent claudication involving his left calf, and the ankle pressure index (API) of the left leg was 0.56. Digital subtraction angiography revealed local occlusion of the left external iliac artery, which was consistent with the surgical field of THA. A left external ilio-common femoral bypass was performed without incident. The risk of vascular complication associated with THA is low, and especially so in cases with iliac arterial occlusion. However, adequate and prompt diagnosis is required in such cases.
@Jpn. J. Cardiovasc. Surg. 33: 133-135 (2004)