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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2012/10/14 20:49:34」(JST)

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The profunda femoris artery (also known as the deep femoral artery, or the deep artery of the thigh) is a branch of the femoral artery that, as its name suggests, travels more deeply (posteriorly) than the rest of the femoral artery.

Structure

The profunda femoris branches off the femoral artery soon after its origin. It travels down the thigh closer to the femur than the femoral artery, running between the pectineus and the adductor longus, and running on the posterior side of adductor longus. The deep femoral artery does not leave the thigh.

Branches

The profunda femoris gives off the following branches:

Lateral femoral circumflex artery
Medial femoral circumflex artery
Perforating arteries - perforate the adductor magnus muscle to the posterior and medial compartments of the thigh.

Additional images

Cross-section through the middle of the thigh.
A schema of the arteries of the thigh. The profunda femoris artery is labeled as "deep artery of the thigh" at the center left.

External links

Duke Orthopedics profunda_femoris_deep_femoral_artery
SUNY Figs 12:04-03 - "Arteries of the lower extremity shown in association with major landmarks."
Cross section at UV pelvis/pelvis-e12-15
MedEd at Loyola grossanatomy/dissector/labs/le/ant_th_leg/main.html
antthigh at The Anatomy Lesson by Wesley Norman (Georgetown University) (femoralart)

This article was originally based on an entry from a public domain edition of Gray's Anatomy. As such, some of the information contained within it may be outdated.

UpToDate Contents

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English Journal

Initial experience with proximal ligation for profunda femoris artery aneurysms: report of three cases.

Shintani T1, Norimatsu T, Atsuta K, Saitou T, Higashi S, Mitsuoka H.Author information 1Department of Vascular Surgery, Shizuoka Red Cross Hospital, 8-2 Ottemachi, Aoi-Ku, Shizuoka city, Shizuoka, 420-0853, Japan, Shintani@SZRC.org.AbstractProfunda femoris artery aneurysms (PFAAs) are rare and difficult to diagnose in the early stage. They are often found due to the presence of complicated conditions, such as rapid expansion, rupture, or acute lower limb ischemia. Surgical procedures such as aneurysmectomy and endoaneurysmorrhaphy tend to be technically challenging because of the patient status and the extent of the aneurysm. We experienced three cases of PFAAs that were treated by proximal ligation (PL) without complete control of the distal branches. The exclusion of PFAAs was confirmed by duplex ultrasound or angiography at the end of the operation. There was no mortality in the perioperative period. During a 12-month follow-up, all cases exhibited complete exclusion of aneurysms with marked size reduction. Based on these findings, we propose that PL, with a careful follow-up for PFAA exclusion and distal limb circulation, could be an alternative treatment for complicated PFAAs.
Surgery today.Surg Today.2014 Apr;44(4):748-52. doi: 10.1007/s00595-013-0525-5. Epub 2013 Feb 28.
Profunda femoris artery aneurysms (PFAAs) are rare and difficult to diagnose in the early stage. They are often found due to the presence of complicated conditions, such as rapid expansion, rupture, or acute lower limb ischemia. Surgical procedures such as aneurysmectomy and endoaneurysmorrhaphy ten
PMID 23443822

Novel femoral artery terminology: Integrating anatomy and clinical procedures leading to standardized intuitive nomenclature.

Benninger B.Author information Department of Medical Anatomical Sciences, Western University of Health Sciences, COMP-Northwest, Lebanon, Oregon; Department of Neuromuscular Medicine, Western University of Health Sciences, COMP-Northwest, Lebanon, Oregon; Department of Family Practice, Western University of Health Sciences, COMP-Northwest, Lebanon, Oregon; Faculty of Dental Medicine, College of Dental Medicine, Pomona, California; Department of Orthopaedics, Samaritan Health Services, Corvallis, Oregon; Department of General Surgery, Samaritan Health Services, Corvallis, Oregon; Department of Oral Maxillofacial Surgery, Oregon Health & Science University, Portland, Oregon; Department of Surgery, Oregon Health & Science University, Portland, Oregon; Department of Orthopaedics and Rehabilitation, Oregon Health & Science University, Portland, Oregon.AbstractThe objective of this study is to investigate the terminology of the femoral artery and recommended alternative terminology that satisfies both anatomy and clinical arenas.The femoral artery (FA) is often defined as the continuation of the external iliac artery. Specifically, when the external iliac artery reaches directly beneath the inguinal ligament, it becomes the FA. Currently, Terminologia Anatomica (TA) records the profunda femoris or deep femoral as a terminal branch. Clinicians often use superficial femoral artery (SFA) rather than FA and profunda or deep FA. SFA is actually very deep and well protected for most of its journey. On observation, the terminology in current use is not intuitive. The objective of this study was to investigate the terminology associated with the anatomical and clinical anatomical interpretations of the FA and its terminal branches and to suggest a more appropriate terminology that addresses the points of view of the macro anatomist, as well as that of the clinician. Literature search was conducted regarding the nomenclature of the FA and its terminal branches. Dissection of 89 embalmed cadavers (49F, 40M, ages 47-89) was conducted to analyze the morphology of the FA and its branches. Perusal of the literature revealed a difference in terminology between anatomical and clinical textbooks/atlases/journals regarding the FA and its terminal branch. Our dissections suggested that the FA may be better defined vis-à-vis its relationship to the anterior and posterior compartments of the thigh. A difference in terminology exists between the anatomical and clinical arenas. A need for a standardized terminology is necessary because clinicians and their publishers have not adopted TA. This study suggests that the current FA be considered the common FA and the continuation of the FA, the SFA be renamed the anterior FA and the current profunda (the deep FA) be renamed the posterior FA, respectively. The proposed terminology mirrors the lower limb anterior/posterior tibial artery terminology. Clin. Anat., 2013. © 2013 Wiley Periodicals, Inc.
Clinical anatomy (New York, N.Y.).Clin Anat.2014 Mar 28. doi: 10.1002/ca.22298. [Epub ahead of print]
The objective of this study is to investigate the terminology of the femoral artery and recommended alternative terminology that satisfies both anatomy and clinical arenas.The femoral artery (FA) is often defined as the continuation of the external iliac artery. Specifically, when the external iliac
PMID 24677146

Hybrid approach to limb salvage in the setting of an infected femoral-femoral bypass graft.

Jones DW1, Meltzer AJ2, Schneider DB2.Author information 1Department of Vascular and Endovascular Surgery, New York Presbyterian Hospital - Weill-Cornell Medical Center, New York, NY. Electronic address: Doj9016@nyp.org.2Department of Vascular and Endovascular Surgery, New York Presbyterian Hospital - Weill-Cornell Medical Center, New York, NY.AbstractProsthetic vascular graft infection in patients with advanced peripheral arterial disease can lead to multiple additional procedures, including extra-anatomic bypass or even amputation. We report the case of an 88 year-old woman with critical limb ischemia and an infected prosthetic femoral-femoral bypass graft. Using a planned hybrid two-stage approach, we performed endovascular recanalization of the native left iliac arterial system using remote access via the superficial femoral artery to avoid infected groin wounds. Recanalization of the patient's TASC II D chronic iliac occlusion allowed for removal of the infected graft and placement of a profunda femoris artery to proximal posterior tibial artery bypass, thereby restoring inflow and avoiding the infected left groin. Newer endovascular techniques coupled with open surgical options may lead to limb salvage in patients with previously unreconstructable peripheral arterial disease.
Annals of vascular surgery.Ann Vasc Surg.2014 Feb 8. pii: S0890-5096(14)00081-8. doi: 10.1016/j.avsg.2014.01.014. [Epub ahead of print]
Prosthetic vascular graft infection in patients with advanced peripheral arterial disease can lead to multiple additional procedures, including extra-anatomic bypass or even amputation. We report the case of an 88 year-old woman with critical limb ischemia and an infected prosthetic femoral-femoral
PMID 24517994

Japanese Journal

Combined Total Arch Replacement and Bypass from the Ascending Aorta to the Bilateral Profunda Femoris Arteries

Annals of Vascular Diseases 7(2), 183-186, 2014
NAID 130004488038

大腿骨頸部骨折手術後の仮性動脈瘤を契機として発症したクームス陰性自己免疫性溶血性貧血

臨床血液 52(3), 142-144, 2011-03-30
NAID 10029424448

陰茎癌鼠径部リンパ節転移による大腿動脈浸潤に対する自作ステントグラフト内挿術の１例

日本血管外科学会雑誌 20(5), 767-771, 2011
NAID 130004490375

「大腿深動脈」

Artery: Profunda femoris artery
	The profunda femoris artery, femoral artery and their major branches - right thigh, anterior view. (Femoral profunda labeled at right center.)
	Structures surrounding right hip-joint. (Femoral profunda not labeled, but is visible near center right.)
Latin	arteria profunda femoris
Gray's	subject #157 629
Source	femoral artery
Branches	Lateral femoral circumflex; Medial femoral circumflex; Perforating
Vein	profunda femoris vein

　　[★]

英: deep femoral artery (LK, KH), deep artery of thigh (Z,M,N)
ラ: profunda femoris
関: 大腿動脈

起始

大腿動脈

走行

分布

枝

Henry Gray (1825-1861). Anatomy of the Human Body. 1918.

「femor」

　　[★]

adj.

大腿部の

関: femoris

「femoris」

　　[★]

大腿部の

関: femor

リンク元	「大腿深動脈」
関連記事	「femor」「femoris」

匿名

検索

案内

案内

profunda femoris