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Intercostal artery pseudoaneurysm due to stab wound
Seishiro Sekino1, Hisato Takagi, Hajime Kubota
1Department of Cardiovascular Surgery, Shizuoka Medical Center, Sunto-gun, Japan.
Journal of Vascular Surgery
|August 17, 2005
Summary
Intercostal artery pseudoaneurysms are rare, often caused by trauma. Early diagnosis is crucial to prevent rupture, with embolization being a potential treatment, though complex anatomy can pose challenges.
Area of Science:
- Vascular Surgery
- Trauma Surgery
- Interventional Radiology
Background:
- Intercostal artery pseudoaneurysms are exceptionally rare vascular injuries.
- Only six cases have been documented in English medical literature prior to this report.
Observation:
- This case details an intercostal artery pseudoaneurysm resulting from a stab wound.
- The study reviews existing literature and explores various therapeutic interventions for this condition.
Findings:
- Intercostal artery pseudoaneurysms carry a significant risk of premature rupture, necessitating prompt diagnosis.
- Anatomical complexities, including multiple blood supplies (anterior/posterior intercostal arteries, musculophrenic artery), can complicate treatment.
Implications:
- Accurate pre-rupture diagnosis of intercostal artery pseudoaneurysms is mandatory for effective management.
- While embolization is a viable option, understanding the pseudoaneurysm's vascular supply is critical for successful intervention.