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Acute occlusion of aortobifemoral bypass graft after revision total hip arthroplasty

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Introduction: Vascular injuries, although rare, can occur after total hip arthroplasty. This complication is potentially limb or lifethreatening. 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 postoperative 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.

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