A variation of the lateral circumflex femoral artery


İbiş E. C., Tanyeli M. E., Üzel M., Soyluoğlu A. İ.

23. Ulusal Anatomi Kongresi, Ankara, Türkiye, 11 - 15 Ekim 2023, cilt.65, sa.2, ss.102, (Özet Bildiri)

  • Yayın Türü: Bildiri / Özet Bildiri
  • Cilt numarası: 65
  • Basıldığı Şehir: Ankara
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.102
  • İstanbul Üniversitesi-Cerrahpaşa Adresli: Evet

Özet

Objective: The aim of this study is to report a variation of the lateral circumflex femoral artery (LCFA) and to guide the clinicians performing radiological and surgical interventions in this area.

Case: During dissections for the thesis study in 2021-2022, it was observed that the ascending and descending branches of the LCFA originated from the deep femoral artery (DFA) with separate origins

on the anterior aspect of the left thigh of a 70-year-old female cadaver. Meticulous dissection revealed that the descending branch of the LCFA originated anterolaterally, 0.7 cm distal to the origin of the DFA,

whereas the ascending branch originated posterolaterally, 1.8 cm distal to the DFA. When the diameters were measured, the descending branch was 0.35 cm, and the ascending branch was 0.4 cm. The distance

of the descending branch to the mid-inguinal point was 3.2 cm, while the distance of the ascending branch was 5 cm. As the ascending branch traveled laterally, it gave a transverse branch with a diameter of 0.23 cm

and deepened by piercing the vastus lateralis muscle. The medial circumflex femoral artery emerged from DFA as a thin branch.

Conclusion: The frequency of this variation in our case is between 0.6%, and 4% in the literature. Both branches of the LCFA are of clinical importance. While the ascending branch can be used in vascularized

iliac grafting, the descending branch can be used as a collateral artery, an anterolateral pedicled tissue flap, and as a graft in various bypass procedures. Consideration of these variations in procedures to be

performed in the hip region will guide the clinician during the intraoperative and postoperative periods.