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Updated: Mar 10, 2026

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
A lateral costal artery complicating video-assisted thorascopic surgery (VATS) pleurectomy
Jeremy L C Smelt1, Levon Toufektzian2, John Pilling2
1Department of Cardiothoracic Surgery, Guy's Hospital, 6th Floor Tower Wing, London, SE1 9RT, UK. Jeremy.Smelt@gstt.nhs.uk.
Abstract:
The lateral costal artery is a rare variant arising from the internal thoracic artery (ITA). It has been associated with steel syndrome after coronary artery bypass using the ITA as a conduit. Clinically, it is under-reported in the literature. We report the presence of a prominent lateral costal artery, coursing below the diaphragm, discovered during video-assisted thorascopic surgery pneumothorax surgery and preventing parietal pleurectomy.
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Pneumothorax-II
Clinical Manifestations:
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Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...