The Journal of Arthroplasty
Volume 27, Issue 2 , Pages 323.e13-323.e16, February 2012

Superior Medial Geniculate Artery Pseudoaneurysm After Primary Total Knee Arthroplasty

  • Terrill P. Julien, MD

      Affiliations

    • Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts
    • Corresponding Author InformationReprint requests: Terrill Julien, MD, 75 Francis Street, Boston, MA 02115.
    • ,
  • Edwin Gravereaux, MD

      Affiliations

    • Department of Vascular Surgery, Brigham and Women's Hospital, Boston, Massachusetts
    • ,
  • Scott Martin, MD

      Affiliations

    • Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts

Received 9 July 2010; accepted 7 February 2011. published online 24 March 2011.

Abstract 

Vascular complications after total knee arthroplasty are rare. To date, there are 7 reported cases of pseudoaneurysms affecting the popliteal artery and 6 cases affecting one of the geniculate arteries. We present a case of a geniculate artery pseudoaneurysm that shared symptoms of a deep venous thrombosis on physical examination of a patient who underwent primary total knee arthroplasty. To date, there are no reports in American literature of pseudoaneurysms affecting the superior medial geniculate artery after primary total knee arthroplasty. After a vascular workup including computed tomographic angiography, surgical management included evacuation of the pseudoaneurysm and ligation of the feeding artery. The patient went on to successful recovery.

Key words: artery pseudoaneurysm, total knee arthroplasty, angiography

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 The Conflict of Interest statement associated with this article can be found at doi:10.1016/j.arth.2011.02.009.

PII: S0883-5403(11)00054-4

doi:10.1016/j.arth.2011.02.009

The Journal of Arthroplasty
Volume 27, Issue 2 , Pages 323.e13-323.e16, February 2012

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