A rare case report of complete transposition of the femoral artery and vein
Researcher Bulletin of Medical Sciences,
Vol. 25 No. 1 (2020),
In the inguinal region at normal anatomical situation the artery is positioned lateral to vein and by this figure artery and vein get out under inguinal ligament and entrance to this region. Every surgeon (general surgeon, vascular surgeon or orthopaedic) that works at this region should know anatomical anomaly and variation of these vessels in inguinal region. Dissection at this region without knowing these variations could damage the vessels especially femoral artery. Some times this variations could induce compression on the vein and induce deep vein thrombosis. In this case while exploring femoral artery for transfemoral thrombectomy, femoral vein was found in the arteries anatomical position and complete transposition of artery and vein was founded. In conclusion, knowing normal variations and anomalies while dissecting this area helps us for lowering iatrogenic vascular trauma and complications.
- Femoral artery; Femoral vein; Anatomical variations; Anatomy transposition
How to Cite
2. Sheng-Kai Yu and et. al., A patient with femoral triangle anatomy transposition challenges NAVY rule, Journal of Clinical Anesthesia 44 (2018) 80 –81
3. Tomaszewski KA, Henry BM, Vikse J, Pękala P, Roy J, Svensen M, Guay D, Hsieh WC, Loukas M, Walocha JA.Variations in the origin of the deep femoral artery: A meta-analysis. Clinical Anatomy, volume 30, issue 1, January 2017, 106-113
4. Chitra R. A rare variational anatomy of the profunda femoris artery. Folia Morphol (Warsz). 2008 May;67(2):157-8.
5. Nabatoff RA. Anomalies encountered during varicose vein surgery. Arch Surg. 1978 May;113(5):586-8
6. Ha˚ kan Rudstro¨ m, MD, Martin Bjo¨ rck, MD, PhD, David Bergqvist, MD, PhD, FRCS, Iatrogenic Vascular Injuries in Varicose Vein Surgery: a Systematic Review, World J Surg (2007) 31: 228–233
7. Donnelly M, Tierney S, Feeley TM. Anatomical variation at the saphenofemoral junction. Br J Surg 2005;92:322 –325.
8. Pai MM, Prabhu LV, Prakash N. Iliofemoral arterial malformation. Braz J Cardiovasc Surg 2006;21:472 –475.
9. Nabatoff RA. Anomalies encountered during varicose vein surgery. Arch Surg 1978;113:586 –588.
10. Leite JO, Carvalho Ventura I, Botelho FE, Costa Galvao W. Incomplete transposition of the common femoral artery and vein. Int Angiol 2010;
11. E. Çiftcioglu1 , A. Kale2, C. Kopuz1 , M. Edizer1, E. Aydln1 , M.T. Demir1, Medial circumflex femoral artery with different origin and course: a case report and review of the literature. Folia Morphol. Vol. 68, No. 3, pp. 188–191
12. Kopuz C, Yildirim M, Öztürk A, Malazgirt Z (2000) Rare origin of the inferior epigastric and medial circumflex femoral arteries arising from a common trunk. Eur J Plast Surg, 23: 438–440.
13. Lippert H, Pabst R (1985) Arterial variations in man: classification and frequency. Bergmann, München.
14. Moore KL, Persaud TVN (1998) The developing human clinically oriented embryology. 6th Ed. WB Saunders Company, Philadelphia-London-Toronto-Montreal- -Sydney-Tokyo.
15. Giustino Marcucci, Federico Accrocca, Roberto Antonelli, Andrea SianiThe management of arterial and venous injuries during saphenous vein surgery, Interactive CardioVascular and Thoracic Surgery 7 (2008) 432–434.
16. Giustino Marcucci, Roberto Antonelli, Federico Accrocca, Andrea Siani, A rare anomaly of the femoral vessels: complete transposition of the femoral artery and vein, Interactive Cardioascular and Thoracic Surgery 11 (2010) 838–839
17. Yohei Yamamoto , Hidetoshi Uchiyama , Masahiro Onuki, An Unusual Variational Anatomy of the Medial Circumflex Femoral Artery: A Case Report of a Post-catheterization Femoral Arteriovenous Fistula, Cureus 1 2(1 ): e6734
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