title: A lateral costal artery complicating video-assisted thorascopic surgery (VATS) pleurectomy.
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.
authors.affiliation: Department of Cardiothoracic Surgery, Guy's Hospital, 6th Floor Tower Wing, London, SE1 9RT, UK. Jeremy.Smelt@gstt.nhs.uk.
authors.forename: Jeremy L C
authors.identifier: http://orcid.org/0000-0001-7188-274X
authors.initials: JLC
authors.lastname: Smelt
authors.affiliation: Department of Cardiothoracic Surgery, Guy's Hospital, 6th Floor Tower Wing, London, SE1 9RT, UK.
authors.forename: Levon
authors.initials: L
authors.lastname: Toufektzian
authors.affiliation: Department of Cardiothoracic Surgery, Guy's Hospital, 6th Floor Tower Wing, London, SE1 9RT, UK.
authors.forename: John
authors.initials: J
authors.lastname: Pilling
authors.affiliation: Department of Cardiothoracic Surgery, Guy's Hospital, 6th Floor Tower Wing, London, SE1 9RT, UK.
authors.forename: Tom
authors.initials: T
authors.lastname: Routledge
mesh_terms: D000328:Adult; D063405:Anatomic Variation; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000033:anatomy & histology*; D011030:Pneumothorax / Q000601:surgery*; D020775:Thoracic Surgery, Video-Assisted
keywords: Anatomy; Arterial grafts; Arteries; Artery; CABG; Pleura; Thoracoscopy/VATS