CADAVERIC STUDY OF VARIATIONS IN BRANCHING PATTERN OF FEMORAL ARTERY AND  PROFUNDA FEMORIS ARTERY

Abstract Background: The profunda femoris artery (PFA) is a branch of femoral artery which plays an important role in the arterial supply of the thigh. An extensive knowledge of the branching pattern and relations are necessary for clinicians to prevent any iatrogenic damage to these blood vessels and the surrounding structures in vascular reconstructive surgeries. Objective: To study the direction of origin of PFA from femoral artery and measure DIP- the distance between the origin of PFA from femoral artery to midpoint of inguinal ligament. Materials and Methods: Forty six femoral triangles (23 on right & 23 on left side) were dissected and studied in embalmed cadavers available in dissection hall of K. S. Hegde Medical Academy, Mangalore, India over a period of two years from July 2011 to July 2013. These cadavers were of South Indian origin. The direction of origin of PFA from femoral artery was noted. The DIP was measured using Vernier caliper. Results: The direction of origin of the PFA in majority of the cases was found to be from the posterolateral side (65.22%) of femoral artery. The DIP varies from 25 to 50 mm on the right and 24 to 60 mm on the left side. In 50 % of the cases, the DIP was in the range of 41 to 50 mm on both the sides. Conclusion: The anatomical data obtained here is of importance for surgeons and radiologists for procedures centred on the PFA and in vascular reconstructive surgeries involving the groin.

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A VARIATION IN ORIGIN OF BRANCHES OF PROFUNDA FEMORIS ARTERY IN RELATION WITH FEMORAL ARTERY: A CASE REPORT

10.36106/gjra/9608472 ◽

2021 ◽

pp. 6-7

Author(s):

Sonia Meend ◽

Priyanka Devatwal ◽

Priyanka Verma ◽

Bhumica Bodh

Keyword(s):

Interventional Radiology ◽

Case Report ◽

Femoral Artery ◽

Lower Limb ◽

Branching Pattern ◽

Profunda Femoris Artery ◽

Female Cadaver ◽

The Right ◽

Thigh Region ◽

Profunda Femoris

Introduction – Profunda femoris is the main course of supply to the muscles of thigh area. It is the biggest part of femoral supply route in the thigh region. It gives out branches named medial circumex femoral and lateral circumex femoral and four perforating branches and proceeds as the fourth perforating branch in the mid of thigh. A variation regarding the branching pattern of profunda femoris artery was observed with an origin of medial and lateral circumex arteries is been seen in a formalin embalmed 55 years of age female cadaver during typical dissection procedure in the dissection hall. Methods - The study was undertaken on lower limb of a fully embalmed 55years old female cadaver in the department of anatomy, used for routine dissection for teaching undergraduate and post graduate medical students. Result - In this female cadaver on left side of lower limb, there was an uncommon origin of lateral circumex femoral artery directly from the femoral artery with a normal emergence of medial circumex femoral artery from profunda femoris artery. While on the right side of the same Cadaver, the profunda femoris artery arose at usual distance i.e., 3.7cm below inguinal ligament, from posterolateral aspect of femoral artery and then it bifurcates into lateral and medial circumex femoral artery. Conclusion - Current examination will assist the clinicians to bypass iatrogenic inconveniences during a surgical procedure and will likewise help them in methodology for interventional radiology around this region.

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Variations in the Circumflex Branches of the Profunda Femoris Artery - A Cadaveric Study

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2021/218 ◽

2021 ◽

Vol 10 (14) ◽

pp. 1020-1024

Author(s):

Anne George ◽

Maheswary Thampi Santhakumary

Keyword(s):

Femoral Artery ◽

External Iliac Artery ◽

Pubic Symphysis ◽

Cadaveric Study ◽

Anterior Superior Iliac Spine ◽

Profunda Femoris Artery ◽

Circumflex Femoral Artery ◽

Medial Circumflex Femoral Artery ◽

Lateral Circumflex Femoral ◽

Profunda Femoris

BACKGROUND The external iliac artery passes behind the inguinal ligament into the front of the thigh as the femoral artery (FA). The FA gives off many branches both superficial and deep. The profunda femoris artery (PFA) is one of the deep branches given off in the femoral triangle in front of the thigh. The PFA gives off the medial circumflex femoral artery (MCFA) and the lateral circumflex femoral arteries (LCFA) and continues downwards giving off the first, second and third perforating arteries. The PFA terminates as the fourth perforating artery. Many variations in the circumflex branches of the PFA have been found by various authors. These variations are of great significance during procedures done in front part of the thigh. METHODS This is a descriptive cadaveric study. We dissected the thighs of 57 embalmed bodies. We looked for the medial (MCFA) and lateral (LCFA) circumflex arteries which are branches of PFA. Each artery was followed till its termination. The distance of their origin from the point of the origin of PFA from the FA was measured and noted. The distance between pubic symphysis and anterior superior iliac spine was measured using black silk and measuring scale. The midpoint was marked using skin marking pen and an incision extending from anterior superior iliac spine to pubic symphysis was made. Another incision was made from the above midpoint to the midpoint of a horizontal incision at the level of knee joint. Femoral sheath was identified and incised. Femoral artery, profunda femoris artery and its circumflex branches were identified. The modes of origin of MCFA and LCFA were noted. The distance of origin of these from the origin of PFA were measured. Variations in the branching pattern of MCFA and LCFA were looked for and noted down. RESULTS We found that in 83 % of the total cases MCFA took origin from PFA and its origin was from the FA in 13 %. In 84 % of total cases LCFA arose from PFA on the right side and 70 % on the left side. A common stump of origin was noted in 3 cases. CONCLUSIONS Medial and lateral circumflex branches of PFA exhibit wide variations. KEY WORDS Medial Circumflex Femoral Artery, Lateral Circumflex Femoral Artery, Variations in Origin and Branching

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High origin of Profunda Femoris Artery - A Case Report

Journal of Ayurveda and Integrated Medical Sciences (JAIMS) ◽

10.21760/jaims.v2i05.10276 ◽

2017 ◽

Vol 2 (05) ◽

Author(s):

Ashwinikumar Waghmare ◽

Malashri .

Keyword(s):

Femoral Artery ◽

Lower Limb ◽

Rectus Femoris ◽

Inguinal Ligament ◽

Vastus Medialis ◽

Medial Aspect ◽

Lateral Aspect ◽

Profunda Femoris Artery ◽

Male Cadaver ◽

Profunda Femoris

Profunda Femoris Artery (PFA) arises from lateral aspect of femoral artery 3.5 cm distal to inguinal ligament. It gives lateral and medial circumflex femoral arteries from lateral and medial aspect respectively. Following variation was reported in right lower limb of a 60 year male cadaver, during routine dissection for medical students. Profunda Femoris Artery (PFA) arose from lateral aspect of femoral artery 1 cm distal to inguinal ligament, running laterally and down words parallel to femoral artery the profunda femoris passed beneath rectus femoris, sartorius and vastus medialis successively, finally pierced adductor magnus as forth perforator artery, 6 cm above knee joint.

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A Synchronous Ipsilateral True Superficial Femoral Artery and Profunda Femoris Artery Aneurysm With Rupture: A Case Report and Review of the Literature

Vascular and Endovascular Surgery ◽

10.1177/1538574420939716 ◽

2020 ◽

Vol 54 (7) ◽

pp. 650-655

Author(s):

Ali Ahmet Arıkan ◽

Fatih Avni Bayraktar ◽

Emre Selçuk

Keyword(s):

Femoral Artery ◽

Superficial Femoral Artery ◽

Treatment Options ◽

Artery Aneurysm ◽

Rare Condition ◽

Review Of The Literature ◽

Profunda Femoris Artery ◽

Elderly Males ◽

History Of ◽

Profunda Femoris

Atherosclerotic true aneurysms of the superficial femoral artery (SFA) and profunda femoris artery (PFA) are rare and difficult to detect. The synchronous presence of SFA and PFA aneurysms is even rarer. Herein, we present a case with ipsilateral true SFA and PFA aneurysms diagnosed with rupture. A review of the international literature is made, and the diagnosis and treatment options of this rare condition are discussed. A 75-year-old male was admitted to our hospital with an aneurysm on the distal SFA and the ipsilateral PFA, as well as a hematoma around the PFA. It was difficult to determine the source of the rupture before surgery, even with proper imaging. Successful ligation of the PFA and an aneurysmectomy followed by a bypass grafting for the SFA were performed. An intraoperative examination revealed that the SFA aneurysm had ruptured. In elderly males with a history of ectasia or aneurysm on the aorta or peripheral arteries, a synchronous aneurysm on the SFA or the PFA should be suspected.

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