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The intercostal space (ICS) is the anatomic space between two ribs (Lat. costa). Since there are 12 ribs on each side, there are 11 intercostal spaces, each numbered for the rib superior to it. Since there are 12 ribs on each side, there are 11 intercostal spaces, each numbered for the rib superior to it.
A harsh murmur usually on left second intercostal space radiating to left neck and accompanied by palpable thrill. It can be distinguished from a VSD (ventricular septal defect) by listening to the S2, which is normal in VSD but it is widely split in pulmonary stenosis. However, VSD is almost always pansystolic where the murmur of pulmonary ...
The second heart sound, or S 2, forms the "dub" of "lub-dub" and is composed of components A 2 (aortic valve closure) and P 2 (pulmonary valve closure). Normally A 2 precedes P 2 especially during inspiration where a split of S 2 can be heard.
One may hear it at the left lower sternal border. A palpable S2 in the second left intercostal space correlates with pulmonary hypertension due to mitral stenosis. The cooing dove murmur is a cardiac murmur with a musical quality (high pitched). Associated with aortic valve regurgitation (or mitral regurgitation before rupture of chordae).
The murmur is low intensity, high-pitched, best heard over the left sternal border or over the right second intercostal space, especially if the patient leans forward and holds breath in full expiration. The radiation is typically toward the apex. The configuration is usually decrescendo and has a blowing character.
Anterior intercostal veins; Posterior intercostal veins. Posterior intercost vein that drain into the Supreme intercostal vein - 1st intercostal space; Posterior intercost veins that drain into the Superior intercostal vein - 2nd, 3rd, and 4th intercostal spaces. The superior intercostal vein then drains into the Azygous vein.
The intercostal arteries are a group of arteries passing within an intercostal space (the space between two adjacent ribs). There are 9 anterior and 11 posterior intercostal arteries on each side of the body. The anterior intercostal arteries are branches of the internal thoracic artery and its terminal branch – the musculophrenic artery.
There are eleven posterior intercostal veins on each side. Their patterns are variable, but they are commonly arranged as: The 1st posterior intercostal vein, supreme intercostal vein, drains into the brachiocephalic vein or the vertebral vein. The 2nd and 3rd (and often 4th) posterior intercostal veins drain into the superior intercostal vein.