Anomalous origin of posterior tibial artery from anterior tibial artery: beware!

Authors

  • Abheesh Varma Hegde Department of General Surgery, St. Johns Medical College Hospital, Bangalore, Karnataka, India
  • Ann Sunny Department of General Surgery, St. Johns Medical College Hospital, Bangalore, Karnataka, India
  • Sunil Joshi Department of General Surgery, St. Johns Medical College Hospital, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2349-2902.isj20171159

Keywords:

Angiography, Anomaly, Claudication

Abstract

A 64 year old diabetic, hypertensive male with claudication and rest pain in his left leg was found to have diffuse narrowing below the politeal artery in the left lower limb with good collaterals. There was bifurcation of the right popliteal artery above the knee joint and an anomalous origin of the right posterior tibial artery from the anterior tibial artery. Awareness of anotomical variations is important for evaluation of the lower extremity arteriograms, for vascular surgeons during reconstructions such as femorodistal bypass graft procedures and embolectomy, during surgical techniques such as arthroscopy, tibial osteotomy, vascular reconstruction grafts, plastic surgical flaps and catheterization procedures.

Author Biography

Abheesh Varma Hegde, Department of General Surgery, St. Johns Medical College Hospital, Bangalore, Karnataka, India

Resident, Department of General Surgery

References

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Susan Standring, Gray’s Anatomy: The Anatomical Basis of Clinical Practice, 40th edition, Churchill Livingstone Elsevier, 2008.

Sanders RJ, Alston GK. Variations and anomalies of the popliteal and tibial arteries. Am J Surg. 1986;152(5):531-4.

Kil SW, Jung GS. Anatomical variations of the popliteal artery and its tibial branches: analysis in 1242 extremities. Cardiovasc Intervent Radiol. 2009;32(2):233-40.

Day CP, Orme R. Popliteal artery branching patterns - an angiographic study. Clin Radiol. 2006;61(8):696-9.

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Published

2017-03-25

Issue

Section

Case Reports