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Intercostal artery

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https://www.readbyqxmd.com/read/29225626/hemothorax-due-to-ruptured-mycotic-aneurysm-of-intercostal-arteries-associated-with-infective-endocarditis
#1
Eddie Y Liu, Jennifer Crawford, Haissam Haddad
We present a case of hemothorax due to ruptured mycotic aneurysm in three intercostal arteries in a 40-year-old male with methicillin-resistant Staphylococcus aureus infective endocarditis (IE) due to intravenous drug use. Microcoil embolization and thoracotomy successfully achieved hemostasis. Mycotic aneurysm is a rare complication of IE and is usually found in the intracranial vessels. Ruptured mycotic aneurysm in the intercostal arteries can be associated with IE and can present as acute hemothorax.
2017: Case Reports in Medicine
https://www.readbyqxmd.com/read/29221814/use-of-interventional-radiology-as-initial-hemorrhage-control-to-improve-outcomes-for-potentially-lethal-multiple-blunt-injuries
#2
Hiroyuki Otsuka, Toshiki Sato, Keiji Sakurai, Hiromichi Aoki, Takeshi Yamagiwa, Shinichi Iizuka, Sadaki Inokuchi
INTRODUCTION: Recently, trauma management has been markedly improved with interventional radiology (IVR) and damage-control strategies. However, the indications for its use in hemodynamically unstable patients with severe trauma remains unclear. In some cases, IVR may be more effective than surgery for damage-control hemostasis; however, performing IVR in life-threatening trauma settings is challenging. To address this, we practiced and evaluated a trauma-management system with emergency physicians who trained for both severe trauma management, and techniques of surgery and IVR...
December 6, 2017: Injury
https://www.readbyqxmd.com/read/29167977/thoracic-epidural-haematoma-due-to-a-subclavian-steal-syndrome-and-secondary-formed-thoracic-collateral-circuits-coincidence-or-consequence-a-case-report
#3
Ravian K R W Wettstein, Bas F W van der Kallen, Wouter A Moojen, Rishi Nandoe Tewarie
Despite profound diagnostics, the aetiology of spinal epidural haematoma (SEH) often remains unknown. In this case, diagnostics revealed an SEH at the fifth and sixth thoracic levels due to a subclavian steal syndrome with a tortuous vascular loop between the sixth thoracic intercostal artery and the costocervical arteries deriving from the left subclavian artery with plump arteries in the epidural space. The patient underwent decompression surgery and a percutaneous transluminal angioplasty. The patient showed good recovery at follow-up...
November 22, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29165630/an-eight-branched-aortic-graft-for-reconstruction-of-visceral-and-intercostal-arteries-during-extent-ii-thoraco-abdominal-aortic-surgery
#4
Sung Jun Park, Joon Bum Kim
Reconstruction of the visceral and intercostal arteries is the most challenging part in the open repair of thoraco-abdominal aortic aneurysm. For efficient and expeditious reconstruction of these branching vessels, a technique of using a pre-handsewn 8-branch aortic graft (octopod technique) has been adopted. The octopod graft was manually constructed using commercially available two 4-branch aortic grafts that were spatially oriented based on the preoperative computed tomographic images and connected each other prior to surgery...
November 20, 2017: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29155935/early-and-late-outcomes-of-open-repair-for-dissecting-aneurysms-of-the-descending-or-thoraco-abdominal-aorta
#5
Atsushi Omura, Kenji Minatoya, Jiro Matsuo, Yosuke Inoue, Yoshimasa Seike, Kyokun Uehara, Hiroaki Sasaki, Hitoshi Matsuda, Junjiro Kobayashi
OBJECTIVES: Although open repair is the standard surgical option for dissecting descending thoracic aneurysms (DTAs) and thoraco-abdominal aorta aneurysms (TAAAs), it remains a significant challenge with considerable perioperative morbidity and mortality. We retrospectively analysed early and late outcomes of open repair for these aortic aneurysms. METHODS: Early and late outcomes were investigated for 223 consecutive patients who underwent open repair for dissecting DTA or TAAA between January 2003 and December 2014 (mean age 55 ± 16 years)...
October 9, 2017: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29127469/the-right-intercostobronchial-trunk-anatomical-study-in-respect-of-posterior-intercostal-artery-origin-and-its-clinical-application
#6
Lidija Kocbek, Mateja Rakuša
PURPOSE: The right bronchial artery usually arises from the descending thoracic aorta as a common trunk with the right intercostal artery and forms the right intercostobronchial trunk. Both, the third right posterior intercostal artery and the right intercostobronchial trunk, are described as the most constant vessels. The focus of the study was to determine the characteristics of the right intercostobronchial trunk regarding the origins of the posterior intercostal arteries from the thoracic aorta...
November 10, 2017: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/29125632/median-sternotomy-versus-intercostal-thoracotomy-for-lung-lobectomy-a-comparison-of-short-term-outcome-in-134-dogs
#7
Seth Bleakley, Kevin Phipps, Brian Petrovsky, Eric Monnet
OBJECTIVE: To compare short-term outcomes between dogs undergoing lung lobectomy via median sternotomy (MS) or intercostal thoracotomy (ICT). STUDY DESIGN: Retrospective case control study. METHODS: Medical records of dogs that underwent lung lobectomy via MS or ICT at a single institution were reviewed for demographics, intraoperative findings, and postoperative management and outcomes. Dogs with pleural effusion, pneumonia, migrating foreign body, lung abscess, spontaneous pneumothorax, or lung lobe torsion were excluded...
November 10, 2017: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/29100806/comparison-of-sacrificed-healthy-aorta-during-thoracoabdominal-aortic-aneurysm-repair-using-off-the-shelf-endovascular-branched-devices-and-open-surgery
#8
Luca Bertoglio, Tommaso Cambiaghi, Ciro Ferrer, Domenico Baccellieri, Fabio Verzini, Germano Melissano, Roberto Chiesa, Yamume Tshomba
BACKGROUND: Off-the-shelf devices for branched endovascular aortic repair of thoracoabdominal aortic aneurysm (TAAA) have been developed to overcome the manufacturing- and logistics-related delays characteristic of device customization. Nonetheless, the structural requirements of branched endovascular aortic repair, together with the need for additional thoracic components to suit different anatomies, might lead to a large sacrifice of healthy aorta. METHODS: We enrolled 18 consecutive TAAA patients treated between 2010 and 2016 in two centers employing the off-the-shelf t-Branch (Cook Medical, Bloomington, Ind) device (TB group)...
October 31, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29076314/the-usefulness-of-pedicled-perforator-flap-in-partial-breast-reconstruction-after-breast-conserving-surgery-in-korean-women
#9
Jae Bong Kim, Dong Kyu Kim, Jeong Woo Lee, Kang Young Choi, Ho Yun Chung, Byung Chae Cho, Ho Yong Park, Jee Yeon Lee, Jung Dug Yang
Background: The emergence of breast-conserving surgery combined with radiotherapy as the treatment of choice for early stage breast cancer has resulted in greater focus on oncoplastic breast surgery. The use of perforator flaps has particularly gained in reputation for its effectiveness in the reconstruction of partial breast defects in Korean women. Herein, we present our experience with the use of TDAP (thoracodorsal artery perforator) and LICAP (lateral intercostal artery perforator) flaps...
October 27, 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29073499/management-of-major-vascular-injury-during-pedicle-screw-instrumentation-of-thoracolumbar-spine
#10
Aleem K Mirza, Mohammed Ali Alvi, Ryan M Naylor, Panagiotis Kerezoudis, William E Krauss, Michelle J Clarke, Daniel L Shepherd, Ahmad Nassr, Randall R DeMartino, Mohamad Bydon
OBJECTIVES: Vascular injury is a rare complication of spinal instrumentation. Presentation can vary from immediate hemorrhage to pseudoaneurysm formation. In the literature, surgical approach to repair has varied based on anatomy, acuity of diagnosis, infection, and available technology. In this manuscript, we aim to describe our institutional experience with vascular injuries in thoraco-lumbar spine surgery. PATIENTS AND METHODS: We report our institutional experience of three cases of vascular injury secondary to pedicle screw misplacement and their management, as well as a review of the literature...
October 16, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29068951/the-anterior-intercostal-artery-perforator-flap-clinical-applications-in-partial-breast-reconstruction
#11
COMMENT
Stefania Tenna, Beniamino Brunetti, Marco Morelli Coppola, Paolo Persichetti
No abstract text is available yet for this article.
November 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29065887/computed-tomography-of-the-thorax-in-rabbits-a-prospective-study-in-ten-clinically-healthy-new-zealand-white-rabbits
#12
Désirée Müllhaupt, Sandra Wenger, Patrick Kircher, Nadja Pfammatter, Jean-Michel Hatt, Stefanie Ohlerth
BACKGROUND: Literature investigating the normal cross-sectional anatomy of rabbits with computed tomography (CT) is sparse and incomplete. The purpose of the present study was to investigate the normal thoracic structures, in particular the cranial thorax, with CT angiography in 10 clinically healthy New Zealand White (NZW) rabbits. RESULTS: Absolute and relative measurements of the trachea, heart, thoracic caudal vena cava and aorta, right and left principal bronchi, right and left caudal lobar bronchi and the accompanying branches of the right and left pulmonary artery and vein, right and left lung volume and lung density were taken...
October 24, 2017: Acta Veterinaria Scandinavica
https://www.readbyqxmd.com/read/29062636/blood-supply-to-the-integument-of-the-abdomen-of-the-rat-a-surgical-perspective
#13
Diogo Casal, Diogo Pais, Inês Iria, Paula A Videira, Eduarda Mota-Silva, Sara Alves, Luís Mascarenhas-Lemos, Cláudia Pen, Valentina Vassilenko, João Goyri-O'Neill
BACKGROUND: Many fundamental questions regarding the blood supply to the integument of the rat remain to be clarified, namely the degree of homology between rat and humans. The aim of this work was to characterize in detail the macro and microvascular blood supply to the integument covering the ventrolateral aspect of the abdominal wall of the rat. METHODS: Two hundred five Wistar male rats weighing 250-350 g were used. They were submitted to gross anatomical dissection after intravascular colored latex injection (n = 30); conversion in modified Spalteholz cleared specimens (n=10); intravascular injection of a Perspex solution, and then corroded, in order to produce vascular corrosion casts of the vessels in the region (n = 5); histological studies (n = 20); scanning electron microscopy of vascular corrosion casts (n = 10); surgical dissection of the superficial caudal epigastric vessels (n = 100); and to thermographic evaluation (n = 30)...
September 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29059653/blood-motion-turbulent-or-laminar
#14
Alla P Stepanchuk
INTRODUCTION: The issue on the mode of blood motion in the bloodstream, where the arterial and venous flow is significantly different, has been of greater concern recently. However, the conclusions are largely based on the analysis of the geometric orientation in the wall of arteries of smooth muscle elements. The aim of our study was to examine the characteristics of the prominent configuration of cardial cavities and arterial vessels. MATERIALS AND METHODS: The material for study were specimens of human heart, rabbit aorta and arterial microvessels of rat salivary glands, examined by injection and corrosive methods, scanning and transmission electron microscopy...
2017: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/29056361/compensatory-plasticity-in-diaphragm-and-intercostal-muscle-utilization-in-a-rat-model-of-als
#15
Yasin B Seven, Nicole L Nichols, Mia N Kelly, Orinda R Hobson, Irawan Satriotomo, Gordon S Mitchell
In SOD1(G93A) transgenic rat model of ALS, breathing capacity is preserved until late in disease progression despite profound respiratory motor neuron (MN) cell death. To explore mechanisms preserving breathing capacity, we assessed inspiratory EMG activity in diaphragm and external intercostal T2 (EIC2) and T5 (EIC5) muscles in anesthetized SOD1(G93A) rats at disease end-stage (20% decrease in body mass). We hypothesized that despite significant phrenic motor neuron loss and decreased phrenic nerve activity, diaphragm electrical activity and trans-diaphragmatic pressure (Pdi) are maintained to sustain ventilation...
October 19, 2017: Experimental Neurology
https://www.readbyqxmd.com/read/29056023/-effects-of-improved-v-y-advancement-flap-with-major-artery-perforator-on-repairing-skin-and-soft-tissue-defects
#16
S T Zhou, M T Huang, J Z Zeng, P F Liang, M H Zhang
Objective: To explore the effect of improved V-Y advancement flap with major artery perforator on repairing several skin and soft tissue defects in whole body. Methods: From March 2015 to June 2017, 4 cases with pressure ulcer in sacrococcygeal region, 4 cases with pressure ulcer at ischial tuberosity, 2 cases with scalp and skull defects at occiput, 1 case with secondary wound after tumor resection in axillary region, and 2 cases with skin and soft tissue defects caused by other trauma were hospitalized, with disease duration ranging from 1 week to 6 months...
October 20, 2017: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
https://www.readbyqxmd.com/read/29046008/-severe-hemorrhagic-shock-in-a-93-year-old-patient-due-to-a-diagnostic-thoracocentesis
#17
H Rupprecht, H Dormann, K Gaab
An intercostal artery laceration is a rare iatrogenic complication following thoracocentesis and concerns especially elderly patients. We report a case of a severe hemorrhagic shock in a 93-year old patient due to diagnostic thoracocentesis.
October 18, 2017: Pneumologie
https://www.readbyqxmd.com/read/28992909/aberrant-left-subclavian-artery-in-a-beagle-puppy-with-a-persistent-right-aortic-arch-use-of-cone-beam-computed-tomography-to-diagnose-a-vascular-ring-anomaly
#18
Bertrand Vedrine, Franck Durieux
A 7-week-old, 1.045kg female beagle dog was referred to investigate a supposed vascular ring anomaly. Cone beam computed tomography with contrast enhanced arterial phase accomplished by a rapid manual intravenous injection of iodinated agent during the scanning process revealed a persistent right aortic arch and an aberrant left subclavian artery that compressed dorsally the esophagus in the cranial mediastinum. Third left intercostal thoracotomy was performed to transect the left subclavian artery. This is the first description of a vascular ring anomaly that was diagnosed with a cone beam computed tomography in veterinary medicine...
June 2017: Topics in Companion Animal Medicine
https://www.readbyqxmd.com/read/28972858/intercostal-arteries-pseudo-aneurysms-a-rare-cause-of-hemoptysis-recurrence
#19
Quentin Philippot, Elyas Mahdjoub, Marie-France Carette, Muriel Fartoukh, Guillaume Voiriot
No abstract text is available yet for this article.
October 3, 2017: American Journal of Respiratory and Critical Care Medicine
https://www.readbyqxmd.com/read/28942519/an-applied-anatomical-study-of-bronchial-artery
#20
Qing-Lin Fei, Yuan-Yuan Zhou, Yi-Xiao Yuan, Shan-Quan Sun
The aim of this study was to reveal the external features of the bronchial artery (BA) system, so as to provide morphological basis for clinic. The BAs in 48 adult cadavers were dissected and analyzed. The number of BAs in 48 cases was 118. The incidence of BA arising from thoracic aorta, right posterior intercostal artery, and right subclavian artery was 69.49, 27.12, and 3.39%, respectively. The origin of BAs in individual specimen might be single, two, or all of them, respectively. According to the different origin and/or origins of BAs, it could be divided into five categories...
September 23, 2017: Surgical and Radiologic Anatomy: SRA
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