Intercostal artery pseudoaneurysm due to stab wound

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Intercostal artery pseudoaneurysm due to stab wound Seishiro Sekino, MD, Hisato Takagi, MD, PhD, Hajime Kubota, MD, PhD, Takayoshi Kato, MD, Yukihiro Matsuno, MD, PhD, Takuya Umemoto, MD, PhD Journal of Vascular Surgery Volume 42, Issue 2, Pages 352-356 (August 2005) DOI: 10.1016/j.jvs.2005.03.058 Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 1 A, Computed tomographic (CT) scans with contrast medium showed a 2 × 3-cm nonenhanced mass, within which the intercostal artery was enhanced, in the chest wall. B, Chest CT scans with contrast medium showed the enhanced mass in the intercostal space. Journal of Vascular Surgery 2005 42, 352-356DOI: (10.1016/j.jvs.2005.03.058) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 2 A, Arteriography of the musculophrenic artery via the internal thoracic artery showed a pseudoaneurysm of the sixth intercostal artery. B, Postembolization arteriography of the musculophrenic artery via the internal thoracic artery showed no enhancement of the pseudoaneurysm. C, Arteriography of the sixth posterior intercostal artery via the descending thoracic aorta showed interruption of the artery just proximal to the pseudoaneurysm. Journal of Vascular Surgery 2005 42, 352-356DOI: (10.1016/j.jvs.2005.03.058) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 3 Arteriography of both the musculophrenic artery via the internal thoracic artery (A) and the sixth posterior intercostal artery via the descending thoracic aorta (B) showed no enhancement of the pseudoaneurysm. C, Arteriography of the eighth posterior intercostal artery via the descending thoracic aorta showed the musculophrenic artery feeding the pseudoaneurysm. D, The internal thoracic artery divides into the musculophrenic and superior epigastric arteries at the level of the sixth intercostal space, and the musculophrenic artery gives off anterior intercostal arteries to the lower intercostal spaces (the sixth to ninth intercostal spaces in this case). MPA, Musculophrenic artery; ICA, intercostal artery; ITA, internal thoracic artery; SEA, superior epigastric artery; P, pseudoaneurysm. Journal of Vascular Surgery 2005 42, 352-356DOI: (10.1016/j.jvs.2005.03.058) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions