A Case Report of Anomalous Branching of the Popliteal Artery

Zwass, Alicia; If, Abdelwahab

doi:10.1177/000331978603700211

Cited by 11 publications

(2 citation statements)

References 5 publications

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“…Anterior or posterior tibial artery hypoplasia was found in 6 foetuses of both sexes in the research material. Abdelwahab and Zwass [1] observed absence of both tibial arteries, although in our studies we did not notice such phenomenon.…”

Section: Discussioncontrasting

confidence: 89%

Branching patterns of the foetal popliteal artery

et al. 2015

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10% of the cases featured the variations of popliteal artery terminal branches. Three most commonly seen variations are the trifurcation, anterior tibial-peroneal trunk, and high terminal division of the popliteal artery. The most common course of the superior muscular branches is that there are two large branches which are distributed from the popliteal artery at the height of the knee joint cavity and they do not distribute cutaneous branches. Sural branches are also present as two large vessels without cutaneous branches. The genicular anastomosis branches that run on their own are a typical topographic system of these branches.

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Section: Discussioncontrasting

confidence: 89%

Branching patterns of the foetal popliteal artery

et al. 2015

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“…Patterns of compensating anastomosis around the ankle have been described in patients with CLTI [9]. Our patient probably had a hypoplastic posterior tibial artery with hypertrophy of the distal peroneal artery collateral continuing as the plantar artery, as described by Zwass and Abdelwahab [10]. In this report, we have described a successful bypass grafting to the above-mentioned collateral artery.…”

Section: Discussionsupporting

confidence: 51%

One-Year Follow-Up of an Inframalleolar Collateral Artery Bypass

Rajendran¹,

Nair²

2023

Cureus

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Successful revascularization and restoration of blood flow to one of the pedal arteries is the mainstay to prevent major limb amputation. Here, we report a rare case of successful bypass to the inframalleolar ankle collateral artery in a middle-aged female with rheumatoid arthritis presenting with gangrene of the toes of the left foot. A computed tomography angiography (CTA) demonstrated normal infrarenal aorta, common iliac, external iliac, and common femoral arteries on the left side. The left superficial femoral, popliteal, tibial, and peroneal arteries were occluded. Extensive collateralization was noted in the left thigh and leg, with distal reformation in large ankle collateral. A successful bypass was done using from the common femoral artery to the ankle collateral using the great saphenous vein harvested from the same limb. At a oneyear follow-up, the patient was symptom-free, and a CTA showed a patent bypass graft.

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Anatomical variants of lower limb vasculature and implications for free fibula flap: Systematic review and critical analysis

Abou‐Foul

Borumandi

2015

Microsurgery

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Sound knowledge of the anatomical patterns of lower limb vasculature is crucial for raising the free fibula flap (FFF). The tibial arteries are particularly susceptible to anatomical variations with a dominant role of peroneal artery (PR) for lower leg perfusion, and hence precluding fibular flap harvest. In this systematic review we study the prevalence of lower limbs with dominant peroneal artery (dPR). A systematic review of the MEDLINE and EMBASE databases was conducted using a comprehensive combination of keywords and search algorithm according to PRISMA guidelines. Articles describing the branching patterns of lower limb arteries, in cadaveric or angiographic studies, were included. A total of 5,790 limbs were included from 26 studies. dPR was found in 5.2% of all limbs. The combination of dPR with hypoplastic or aplastic posterior tibial artery was the most common pattern (3.3%) followed by hypoplastic anterior tibial artery (1.5%). Peronea arteria magna (PAM) was seen in 0.4% of limbs. Bilateral variants were seen in 20% of all cases with a dPR. A greater awareness of dPR as anatomical variation and its prevalence among healthy subjects can prevent ischemic donor-site complications after FFF harvest. Clinical examination alone may not suffice to detect anatomical variations, hence preoperative imaging of lower limb vascular system is recommended.

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A Case Report of Anomalous Branching of the Popliteal Artery

Cited by 11 publications

References 5 publications

Branching patterns of the foetal popliteal artery

Branching patterns of the foetal popliteal artery

One-Year Follow-Up of an Inframalleolar Collateral Artery Bypass

Anatomical variants of lower limb vasculature and implications for free fibula flap: Systematic review and critical analysis

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