Study of Anatomical Variations of Profunda Femoris Artery in the Indian Population

We report the case of an 82-year-old woman who developed extensive proximal thigh swelling and persistent anaemia following internal fixation of an extracapsular neck of femur fracture with a dynamic hip screw (DHS). This was revealed to be a pseudoaneurysm of a branch of profunda femoris artery on angiography. Her case was further complicated by a concurrent pulmonary embolism (PE). She underwent endovascular coil embolisation of the pseudoaneurysm. An IVC filter was inserted and the patient was fully anticoagulated once it had been ensured that there was no active bleeding. In this case, we review the potential for anatomical variations in the blood supply to this region and discuss treatment options for a complicated patient. We recommend that a pseudoaneurysm should be part of a differential diagnosis for postoperative patients with anaemia refractory to blood transfusion so as not to miss this rare but potentially serious complication.

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Origin of profunda femoris artery and its circumflex femoral branches: anatomical variations and clinical significance

Folia Morphologica ◽

10.5603/fm.2014.0008 ◽

2014 ◽

Vol 73 (1) ◽

pp. 58-67 ◽

Cited By ~ 8

Author(s):

Ashraf Y. Nasr ◽

Mohammed H. Badawoud ◽

Abdulmonem A. Al-Hayani ◽

Adel M. Hussein

Keyword(s):

Clinical Significance ◽

Anatomical Variations ◽

Profunda Femoris Artery ◽

Profunda Femoris

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ANATOMICAL VARIATIONS OF THE ORIGIN OF PROFUNDA FEMORIS ARTERY – A CADAVERIC STUDY

10.36106/ijsr/3905645 ◽

2021 ◽

pp. 4-6

Author(s):

Indupuru Gowri ◽

T. Sumalatha ◽

Niveditha Samala

Keyword(s):

Femoral Artery ◽

Anatomical Variations ◽

Lower Limbs ◽

Inguinal Ligament ◽

Lateral Side ◽

Profunda Femoris Artery ◽

Medical College ◽

Medial Side ◽

Femoral Triangle ◽

Profunda Femoris

INTRODUCTION: The Profunda Femoris Artery (PFA) is a large branch arises from the lateral or posterolateral part of the Femoral Artery (FA), about 3 to 5cm below the inguinal ligament. The PFA is in close proximity to femoral vessels in the femoral triangle the precise anatomical knowledge of PFA and its branches is of great signicance in preventing profuse haemorrhage, pseudo aneurysms and traumatic AV stulae while doing any procedures or surgeries in that area. AIM & OBJECTIVES: To study the anatomical variations in source of origin, site of origin and distance of origin from midpoint of inguinal ligament of PFA. MATERIALS AND METHODS: The present observational study was conducted on the dissection of 70 lower limbs of 35 adult cadavers (27 male & 8 female) in the Department of Anatomy S.V.S Medical College, Mahabubnagar over a period of 2 years. Contents of the femoral triangle were dissected as per Cunningham's manual. The source of origin, site, distance of origin from mid points of inguinal ligament and course of PFA were noted. Collected data was analysed statistically. RESULTS: In the present study the PFA was arising from the femoral artery in all these 70 Lower Limbs. The commonest site of origin of PFA was postero lateral side of femoral artery in 17 (48.6%) Limbs on right side, 16(45.8%) limbs on left side, followed by lateral side of FA in14(40%) limbs on right side, 12(34.3%) limbs on left side ,followed by posterior in 4(11.4%) limbs on each side. The PFA was originating from medial side of FA only in 3 (4.29%) left limbs The PFA was taking origin below the inguinal ligament most commonly at the distance of 3-4cm in 10(29) limbs on right side, 15(43%) limbs on left side and at 4-5cm in 8(23%) limbs on right side, 5(14%) limbs on left side, at 2-3cm in 8 (23%) limbs on right side, 6(17%) limbs on left side, at 5-7cm in 3(8.5%) limbs on right in 1 (3%) limbs on left side. The PFA was taking origin higher level with in 2cm below the midpoint of inguinal ligament in 6 (17%) limbs on right side, 8(23%) limbs on left side. CONCLUSIONS: The knowledge of site and level of origin of Profundafemoris artery helps in avoiding the formation of iatrogenic femoral arteriovenous stula (0.1-1.5%) while performing femoral artery puncture during femoral puncture, cardiac catheterisation and radiological procedures

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Endovascular Treatment of a Posttraumatic Femoral Vein–Profunda Femoris Artery Fistula

Journal of Endovascular Surgery ◽

10.1583/1074-6218(1999)006<0301:etoapf>2.0.co;2 ◽

1999 ◽

Vol 6 (3) ◽

pp. 301-303 ◽

Cited By ~ 2

Author(s):

Arvind Deshpande ◽

Michael Denton

Keyword(s):

Endovascular Treatment ◽

Femoral Vein ◽

Profunda Femoris Artery ◽

Profunda Femoris

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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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