Intercostal Artery Aneurysmosis

Carr, John Alfred; Vadlamudi, Venu; Azher, Qazi

doi:10.1016/j.athoracsur.2013.02.055

Cited by 10 publications

(15 citation statements)

References 13 publications

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“…The cause of intercostal artery aneurysm formation in this case remains unknown as no clinical or radiological evidence of any associated disease was identified. The presence of intercostal artery aneurysms in the absence of a predisposing condition is described in just two other case reports in the literature (Topel et al, 2004; Carr et al, 2013). As both of these patients presented with acute chest and back pain due to hemothorax, our report is the first to document idiopathic intercostal artery aneurysms prior to rupture.…”

Section: Discussionmentioning

confidence: 93%

“…There are no established criteria for the treatment of intercostal artery aneurysms. In this case we felt that intervention was justified to reduce the likelihood of aneurysm rupture, thoracic hemorrhage, and sudden death (Dominguez et al, 2002; Hernandez-Velasquez et al, 2016; Arai et al, 2007; Kim et al, 2011; Topel et al, 2004; Carr et al, 2013; Aizawa et al, 2010). Endovascular management of unruptured intercostal artery aneurysms has shown success in a small number of patients to date (Tapping & Ettles, 2011; Bonne et al, 2015; Neuwirth & Singh, 2010; Uzuka et al, 2012).…”

Section: Discussionmentioning

confidence: 95%

“…Thus, this is an important diagnosis to consider in patients with extrapleural nodules and associated rib or vertebral notching (Tapping & Ettles, 2011). A contrast-enhanced study may help to better characterize these lesions and assist with detection of additional aneurysms, which can involve multiple intercostal arteries (Carr et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

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Endovascular management of unruptured intercostal artery aneurysms

2019

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BackgroundIntercostal artery aneurysms are rare vascular abnormalities that are typically diagnosed following rupture in patients with predisposing conditions. Our report is the first to document a patient with unruptured intercostal artery aneurysms in the absence of any associated disease.Case presentationA 70-year-old male with prostatic adenocarcinoma was incidentally discovered to have multiple unruptured aneurysms of his intercostal arteries. Three of the aneurysms were embolized utilizing microcoils and glue. At six-month follow-up the patient remained asymptomatic.ConclusionWe demonstrate successful endovascular management of a unique case of multiple idiopathic unruptured intercostal artery aneurysms. Appropriate diagnosis and prompt treatment of these rare vascular lesions is essential in preventing the potentially catastrophic consequences of rupture.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

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Endovascular management of unruptured intercostal artery aneurysms

2019

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“…There are only a few reported cases of spontaneous ICA bleeding in the literature [14][15][16][17][18][19][20][21][22]. To our knowledge, this is the first case description of ICA bleeding associated with LLIF surgery.…”

Section: Discussionmentioning

confidence: 99%

Intercostal artery hemorrhage with hemothorax following combined lateral and posterior lumbar interbody fusion: a case report

Rentenberger

Shue

Soffin

et al. 2019

Spinal Cord Ser Cases

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Introduction Lateral lumbar interbody fusion (LLIF) is a safe treatment for degenerative spine conditions. However, risk of complications such as vascular injuries remains. We report a unique case of an intercostal artery (ICA) hemorrhage with hemothorax following LLIF. Case presentation One hour after a right-sided LLIF L3-4 with posterior decompression L2-4 and L3-5 instrumentation, the patient became hypotensive, anemic and required vasopressor support. Evaluation revealed a right-sided hemothorax, which was caused by a bleeding intercostal artery, laterally at the 10th intercostal space. A lateral thoracotomy was performed to stop the bleeding. After vessel ligation and placement of two chest tubes, the patients' hemodynamics improved. The patient remained intubated overnight and was extubated on the first postoperative day. Discussion Vascular injury is a rare complication of LLIF procedures. Most vascular injuries are segmental vessel lacerations, which resolve postoperatively. This is the first case description of ICA bleeding associated with LLIF surgery. Spontaneous ICA bleeding exists, but surgeons should be aware of careful handling in patients with vascular risk factors, especially with regard to patient positioning required in certain spinal surgical approaches. Timely vascular injury identification is critical for hemostasis and clinical management.

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“…Single aneurysms/pseudoaneurysms have occasionally been described in the literature, usually secondary to prior trauma or surgery. Spontaneous development of intercostal aneurysms is rare, and the presence of multiple aneurysms/aneurysmosis is exceedingly rare [ 1 ]. Cocaine abuse can lead to various vascular complications ranging from vasospasm, arterial dissection, predisposition to aneurysm formation, and aneurysmal rupture.…”

Section: Introductionmentioning

confidence: 99%

Intercostal Artery Aneurysmosis Secondary to Chronic Cocaine Abuse

Agarwal¹,

Kukkar²,

Vijay³

2022

Cureus

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Intercostal artery aneurysms are rare entities usually seen in connective tissue disorders and inflammatory conditions and syndromes like Ehlers-Danlos syndrome, Kawasaki’s disease, and neurofibromatosis. Spontaneous development of intercostal aneurysm is rare and the presence of multiple aneurysms/aneurysmosis is exceedingly rare. Although there have been a few case reports on aortic aneurysm, coronary artery aneurysms and many on ruptured cerebral aneurysms, we could not find a single case of spontaneous intercostal artery aneurysm secondary to chronic cocaine abuse. We report an exceedingly rare case of intercostal artery aneurysmosis presumably secondary to long-term cocaine abuse. Intercostal artery aneurysm is the least common visceral aneurysm and given the very limited literature on this subject, the pathogenesis is poorly understood.

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Intercostal Artery Aneurysmosis

Cited by 10 publications

References 13 publications

Endovascular management of unruptured intercostal artery aneurysms

Endovascular management of unruptured intercostal artery aneurysms

Intercostal artery hemorrhage with hemothorax following combined lateral and posterior lumbar interbody fusion: a case report

Intercostal Artery Aneurysmosis Secondary to Chronic Cocaine Abuse

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