Medial femoral circumflex artery pseudoaneurysm following intramedullary nailing for intertrochanteric fracture

Arthur S. Nguyen; Arthur J. Only; Naoko Onizuka; Julie A. Switzer

doi:10.1016/j.tcr.2021.100577

Medial femoral circumflex artery pseudoaneurysm following intramedullary nailing for intertrochanteric fracture

Arthur S. Nguyen, Arthur J. Only, Naoko Onizuka, Julie A. Switzer

Orthopaedic Surgery

Research output: Contribution to journal › Article › peer-review

Abstract

Case: We present the case of a 92-year-old woman who developed a medial femoral circumflex artery (MFCA) pseudoaneurysm intraoperatively while obtaining reduction during intramedullary nailing (IMN) for intertrochanteric fracture. Conclusions: Pseudoaneurysms are rare vascular complications in hip fracture surgery. Early recognition of signs and symptoms of this phenomenon are essential for diagnosis and treatment. Close post-operative monitoring and serial hemoglobin should be considered for unexplained intra-operative bleeding. A low threshold for angiography should be entertained if active bleeding and clinical decompensation occur during instrumented percutaneous pertrochanteric fracture reduction. This patient underwent conventional angiography with successful coil embolization and exclusion of the MFCA pseudoaneurysm.

Original language	English (US)
Article number	100577
Journal	Trauma Case Reports
Volume	37
DOIs	https://doi.org/10.1016/j.tcr.2021.100577
State	Published - Feb 2022

Bibliographical note

Funding Information:
Arthur S. Nguyen contributed to the conception, design, writing, and critical revision of the final manuscript. Arthur J. Only contributed to the conception, design, writing, and critical revision of the final manuscript. Naoko Onizuka contributed to the conception, design, writing, and critical revision of the final manuscript. Julie A. Switzer contributed to the conception, design, writing, and critical revision of the final manuscript.

Publisher Copyright:
© 2021 The Authors

Keywords

Complication
Elderly
IMN (intramedullary nail)
Intertrochanteric fracture
Pseudoaneurysm

PubMed: MeSH publication types

Case Reports

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10.1016/j.tcr.2021.100577

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@article{69975b97ea5a41ff88b31c980027a1e3,

title = "Medial femoral circumflex artery pseudoaneurysm following intramedullary nailing for intertrochanteric fracture",

abstract = "Case: We present the case of a 92-year-old woman who developed a medial femoral circumflex artery (MFCA) pseudoaneurysm intraoperatively while obtaining reduction during intramedullary nailing (IMN) for intertrochanteric fracture. Conclusions: Pseudoaneurysms are rare vascular complications in hip fracture surgery. Early recognition of signs and symptoms of this phenomenon are essential for diagnosis and treatment. Close post-operative monitoring and serial hemoglobin should be considered for unexplained intra-operative bleeding. A low threshold for angiography should be entertained if active bleeding and clinical decompensation occur during instrumented percutaneous pertrochanteric fracture reduction. This patient underwent conventional angiography with successful coil embolization and exclusion of the MFCA pseudoaneurysm.",

keywords = "Complication, Elderly, IMN (intramedullary nail), Intertrochanteric fracture, Pseudoaneurysm",

author = "Nguyen, {Arthur S.} and Only, {Arthur J.} and Naoko Onizuka and Switzer, {Julie A.}",

note = "Funding Information: Arthur S. Nguyen contributed to the conception, design, writing, and critical revision of the final manuscript. Arthur J. Only contributed to the conception, design, writing, and critical revision of the final manuscript. Naoko Onizuka contributed to the conception, design, writing, and critical revision of the final manuscript. Julie A. Switzer contributed to the conception, design, writing, and critical revision of the final manuscript. Publisher Copyright: {\textcopyright} 2021 The Authors",

year = "2022",

month = feb,

doi = "10.1016/j.tcr.2021.100577",

language = "English (US)",

volume = "37",

journal = "Trauma Case Reports",

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TY - JOUR

T1 - Medial femoral circumflex artery pseudoaneurysm following intramedullary nailing for intertrochanteric fracture

AU - Nguyen, Arthur S.

AU - Only, Arthur J.

AU - Onizuka, Naoko

AU - Switzer, Julie A.

N1 - Funding Information: Arthur S. Nguyen contributed to the conception, design, writing, and critical revision of the final manuscript. Arthur J. Only contributed to the conception, design, writing, and critical revision of the final manuscript. Naoko Onizuka contributed to the conception, design, writing, and critical revision of the final manuscript. Julie A. Switzer contributed to the conception, design, writing, and critical revision of the final manuscript. Publisher Copyright: © 2021 The Authors

PY - 2022/2

Y1 - 2022/2

N2 - Case: We present the case of a 92-year-old woman who developed a medial femoral circumflex artery (MFCA) pseudoaneurysm intraoperatively while obtaining reduction during intramedullary nailing (IMN) for intertrochanteric fracture. Conclusions: Pseudoaneurysms are rare vascular complications in hip fracture surgery. Early recognition of signs and symptoms of this phenomenon are essential for diagnosis and treatment. Close post-operative monitoring and serial hemoglobin should be considered for unexplained intra-operative bleeding. A low threshold for angiography should be entertained if active bleeding and clinical decompensation occur during instrumented percutaneous pertrochanteric fracture reduction. This patient underwent conventional angiography with successful coil embolization and exclusion of the MFCA pseudoaneurysm.

AB - Case: We present the case of a 92-year-old woman who developed a medial femoral circumflex artery (MFCA) pseudoaneurysm intraoperatively while obtaining reduction during intramedullary nailing (IMN) for intertrochanteric fracture. Conclusions: Pseudoaneurysms are rare vascular complications in hip fracture surgery. Early recognition of signs and symptoms of this phenomenon are essential for diagnosis and treatment. Close post-operative monitoring and serial hemoglobin should be considered for unexplained intra-operative bleeding. A low threshold for angiography should be entertained if active bleeding and clinical decompensation occur during instrumented percutaneous pertrochanteric fracture reduction. This patient underwent conventional angiography with successful coil embolization and exclusion of the MFCA pseudoaneurysm.

KW - Complication

KW - Elderly

KW - IMN (intramedullary nail)

KW - Intertrochanteric fracture

KW - Pseudoaneurysm

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DO - 10.1016/j.tcr.2021.100577

M3 - Article

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SN - 2352-6440

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JO - Trauma Case Reports

JF - Trauma Case Reports

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ER -

Medial femoral circumflex artery pseudoaneurysm following intramedullary nailing for intertrochanteric fracture

Abstract

Bibliographical note

Keywords

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