Aberrant configuration of femoral vessels as cause of arterial occlusive disease


  • Ankit Ahuja Department of Surgery, RNT Medical College, Udaipur, Rajasthan, India
  • Vinay Naithani Department of Cardiothoracic and Vascular Surgery, RNT Medical College, Udaipur, Rajasthan, India
  • Amit Kumar Bagara Department of Surgery, RNT Medical College, Udaipur, Rajasthan, India
  • Budhi Prakash Bhatia Department of Cardiothoracic and Vascular Surgery, RNT Medical College, Udaipur, Rajasthan, India




Arterial occlusive disease, Medial origin, Profunda femoris artery, Revascularization


Variations in the branching pattern of femoral and profunda femoris arteries have clinical implications while performing various diagnostic imaging procedures as well as during surgeries that are performed in the femoral triangle. Awareness about these variations aid surgeons during preoperative clinical evaluation for surgical and interventional revascularization of the ileo-femoral and femoro-popliteal segments, in open canulation of femoral artery for cardiopulmonary bypass, in radiological interventions for A-V malformations, and in salvage operations for traumatic limb ischemia. Here we report an aberrant configuration of profunda femoris artery which presented as a case of arterial occlusive disease of lower limb. On surgical exploration, Profunda femoris artery was found originating on the medial aspect of left common femoral artery high up in the inguinal region as compared to its usual lower and lateral origin. There was atheromatous occlusion of superficial femoral artery from its origin upto distal femoral metaphysis. In case of occlusion of the superficial femoral artery, the profunda femoris artery forms an effective collateral bed between the ileo-femoral segment and the popliteal artery and its branches. The clinical implications associated with these variations in therapeutic and diagnostic interventions is been discussed along with relevant literature review. Further study is necessary to identify aberrant configuration of femoral vessels as a cause of arterial occlusive disease in the lower limbs.


Walia S, Modi BS, Sharma S, Bindra GS. Cadaveric study of variations in branching pattern of femoral artery and profunda femoris artery. Int J Anat Res. 2016; 4(4):3001-4.

Nagpal H. Variations in the origin of profunda femoris artery and its branches- A cadaveric study Int J Curr Res, 2017; 9(12):63678-81.

Standring S. Pelvic girdle, gluteal region and hip joint, Profunda femoris artery. In: Gray’s Anatomy, The anatomical basis of clinical practice. 40th ed. Elsevier Churchill, Livingstone, 2008:1379-80.

Rathnakar P, Kumar V, Vinod R, Nandan B. Variations in branching pattern of profunda femoris artery and its circumflex branches. Int J Anat Res. 2016;4(1):1922-6.

Singh R, Wadhwan M. Aberrant Configuration and Branching Pattern of Circumflex and Profunda Femoris Arteries. Basic Sci Med. 2016,5(1):8-10.

Kumari PJ, Bhardwaj AK. Variations in the origins of the profunda femoris, medial and lateral femoral circumflex arteries: a cadaver study in the Indian population. Roman J Morphol Embryo. 2010;51(1):167-70.

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(4):288-92.

VAAS F, Some considerations concerning the deep femoral artery, Arch Chir Neerl. 975;7(1):25-34.

Natale A, Belcastro M, Palleschi A, Baldi I. The mid-distal deep femoral artery: few important centimeters in vascular surgery. Ann Vasc Surg. 2007;21(1):111-6.

Dixit DP, Mehta LA, Kothari ML. Variations in the origin and course of profunda femoris. J Anat Soc India. 2001; 50(1):6-7.

Vishal K, Veerannasetty VK, Bukkambudhi VM, Natanahalli SN, High origin of the deep femoral artery: a case report and literature review. J Vasc Bras. 2011;10(3):243-5.

Sahin B, Uzun A, Emirzeoglu M, Kosif R, Bilgic S. A deep femoral artery passing in front of the femoral vein. Folia Morphol. 2003;62(2):143-6.

Rajani SJ, Ravat MK, Rajani JK, Bhedi AN. Cadaveric study of profunda femoris artery with some unique variations. J Clinic Diag Res: JCDR.2015;9(5):AC01-3.

Shankar N, Roopa R. Unusual bilateral origins of the deep artery of thigh and associated variations. Int J Anat Variat. 2009;2(1):99-101.

Teli C, Vanitha, Kadlimatti HS et.al. Unilateral high origin of profunda femoris and variation of its branching. Int J Health Sci Res. 2015;5(3):394-7

Siddharth P, Smith NL, Mason RA, Giron F. Variational anatomy of the deep femoral artery. Anat Rec. 1985;212(2):206-9.

Nasr AY, Badawoud MH, Al-Hayani AA, Hussein AM. Origin of profunda femoris artery and its circumflex femoral branches: anatomical variations and clinical significance. Folia Morphol (Warsz). 2014;73(1):58-67.

Chitra R. A rare variation anatomy of the profunda femoris artery. Folia Morphol (Warsz). 2008;67(2):157-8.






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