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Abstract
Thoracic wall is being supplied by the neurovascular bundle. In its course the most protected structure is the intercostal vein. The corresponding artery runs below, being in position more vulnerable to damages than the vein. The intercostal nerve is the most exposed for any detriment in case of stab wounds as it’s the most inferior of all the neurovascular structures in the costal groove. Despite the uniqueness of the neurovascular bundle layout, it has a huge clinical significance in procedures like thoracocentesis, thoracotomy or intercostal nerve block.
References
Bochenek A, Reicher M, Anatomia Człowieka, wyd. VI, PZWL, Warszawa 2015.
Czerwiński F, Krechowiecki A, Zarys Anatomii Człowieka, wyd. 8, PZWL, Warszawa 2009.
Neeta V Kulkarni, Clinical Anatomy (A Problem Solving Approach), Second Edition, JP Medical Ltd, 2011
Boaz NT, Bernor RL, Meshida K, et al. Anatomy, Thoracotomy and the Collateral Intercostal Neurovascular Bundle. [Updated 2019 Jul 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-.
Kowalski G, Blokady regionalne - klatka piersiowa, plecy, brzuch; Regional blocks - thorax, back, abdomen; Anestezjologia i Ratownictwo 2010; 4: 354-360
Marchetti-Filho MA, Leão LE, Costa-Junior Ada S, The role of intercostal nerve preservation in acute pain control after thoracotomy, J Bras Pneumol. 2014 Mar-Apr;40(2):164-70.