Anat Cell Biol.  2018 Sep;51(3):212-214. 10.5115/acb.2018.51.3.212.

A rare double profunda femoris artery in a female cadaver

• Tsoucalas
• Panagouli
• Fiska A
• Troupis T
• Venieratos D

• KMID: 2447016
• DOI: http://doi.org/10.5115/acb.2018.51.3.212

Abstract

The profunda femoris artery (PFA) represents the first and largest branch of the femoral artery in the thigh. A series of anatomical variations are reported, mostly concerning its point of origin and its altered trajectories within the lower limb. We present a rare case of a double PFA, where each separate branch followed the expected arterial pattern. Our case aim to alert surgeons and radiologists for the possibility to encounter an unexpected vascular alternation. Knowledge of topographical anatomy of the PFA and its variations is essential for possible complications after interventional procedures to be avoided.

Keyword

Profunda femoris artery; Lower limb; Branching pattern; Anatomical variations; Vascular anatomy

MeSH Terms

Arteries*
Cadaver*
Female*
Femoral Artery
Humans
Lower Extremity
Surgeons
Thigh

Figure

• 

  Fig. 1 Double (left) PFA. FA, femoral artery; PFA, profunda femoris artery (1+2); LFCA, lateral femoral circumflex artery (1+2); FV, femoral vein; SFA, superficial femoral artery.

• 

  Fig. 2 Development of the arteries of the lower limp.

Reference

1. Drake RL, Vogl AW, Mitchell AW. Gray's basic anatomy. Philadelphia, PA: Elsevier Health Sciences;2016.

2. Netter F. Atlas of human anatomy. 6th ed. Philadelphia, PA: Elsevier;2014.

3. Manjappa T, Prasanna LC. Anatomical variations of the profunda femoris artery and its branches-a cadaveric study in South Indian population. Indian J Surg. 2014; 76:288–292. PMID: 25278652.

4. Rajani SJ, Ravat MK, Rajani JK, Bhedi AN. Cadaveric study of profunda femoris artery with some unique variations. J Clin Diagn Res. 2015; 9:AC01–AC03.

5. Choy KW, Kogilavani S, Norshalizah M, Rani S, Aspalilah A, Hamzi H, Farihah HS, Das S. Topographical anatomy of the profunda femoris artery and the femoral nerve: normal and abnormal relationships. Clin Ter. 2013; 164:17–19. PMID: 23455736.

6. Heberer G, van Dongen RJ. Vascular surgery. Berlin: Springer-Verlag;2012.

7. Tubbs RS, Shoja MM, Loukas M. Bergman's comprehensive encyclopedia of human anatomic variation. Hoboken: John Wiley & Sons;2016.

8. Sahin B, Bilgiç S. Two rare arterial variations of the deep femoral artery in the newborn. Surg Radiol Anat. 1998; 20:233–235. PMID: 9706685.

9. Standring S. Gray's anatomy: the anatomical basis of clinical practice. London: Elsevier Health Sciences;2015.

10. Lippert H, Pabst R. Arterial variations in man: classification and frequency. Muenchen: Bergmann;1985.

11. Lausjaunias P, Berenstein A, ter Brugge K. Clinical vascular anatomy and variations. Berlin: Springer Verlag;2013.

12. Fernández-Riera R, Hung SY, Wu JC, Tsao CK. Free profunda femoris artery perforator flap as a first-line choice of reconstruction for partial glossectomy defects. Head Neck. 2017; 39:737–743. PMID: 28032690.

13. Connor D, Sharp M, Rajagopalan S. Profunda femoris artery aneurysm causing local deep venous thrombosis. J Vasc Surg. 2013; 57:1402. PMID: 23601594.

14. Megalopoulos A, Vasiliadis K, Chatzopoulos S, Kotronis A. Profunda femoris as an access site vessel for a hybrid approach to the treatment of a para-anastomotic common iliac artery aneurysm and intermittent claudication, occurring after previous abdominal aortic thbe graft repair and femoro-femoral bypass graft. A case report. Acta Chir Belg. 2009; 109:791–796. PMID: 20184072.

15. Tsoucalas G. Anatomy: an essential course for future surgeons. J Univers Surg. 2018; 6:8.