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Case Report
 
Acute occlusion of aortobifemoral bypass graft after revision total hip arthroplasty
Jacob Worsham1, Kathryn Bentley1, Jared Cordon1, Edmund Brinkis1
1University of Florida College of Medicine – Jacksonville, Department of Orthopaedic Surgery and Rehabilitation , 655 W 8th Street, 2nd Floor ACC, Jacksonville, Florida 32209 – United States of America.

doi:10.5348/ijcri-2015125-CR-10586

Address correspondence to:
Jacob Worsham
MD, Department of Orthopaedic Surgery and Rehabilitation
University of Florida College of Medicine – Jacksonville, 655 W 8th Street, 2nd Floor ACC, Jacksonville, Florida 32209
United States of America
Phone: 918 282 5070
Fax: 904 244 7744

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How to cite this article
Worsham J, Bentley K, Cordon J, Brinkis E. Acute occlusion of aortobifemoral bypass graft after revision total hip arthroplasty. Int J Case Rep Images 2015;6(12):771–776.


Abstract
Introduction: Vascular injuries, although rare, can occur after total hip arthroplasty. This complication is potentially limb or life- threatening.
Case Report: We report on a patient who had an acute arterial thrombosis of an aortobifemoral bypass graft after revision total hip arthroplasty through an anterior approach. This occlusion occurred in the immediate post-operative period was recognized and treated effectively.
Conclusion: After thorough research review, only two instances of aortobifemoral bypass graft occlusion were found after total hip arthroplasty. This is the first case report of an arterial thrombosis of an aortobifemoral bypass graft in a total hip via an anterior (modified Hardinge) approach to the hip. It is also the first case report of a revision procedure causing thrombosis in this graft type. This paper illustrates the importance of vigilance of vascular complication in post-surgical total joint patients.

Keywords: Aortobifemoral bypass graft, Total hip arthroplasty, Thrombosis, Vascular injury


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Author Contributions
Jacob Worsham – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Kathryn Bentley – Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Jared Cordon – Substantial contributions to conception and design, Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Edmund Brinkis – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Jacob Worsham et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.