Newly Published
Images in Anesthesiology  |   May 2019
Lung Pulse with Pneumothorax: Examine the Thoracic Artery and Veins
Author Notes
  • From the Emergency Department, Cattinara University Hospital, Trieste, Italy.
  • Supplemental Digital Content is available for this article. Direct URL citations appear in the printed text and are available in both the HTML and PDF versions of this article. Links to the digital files are provided in the HTML text of this article on the Journal’s Web site (www.anesthesiology.org).
    Supplemental Digital Content is available for this article. Direct URL citations appear in the printed text and are available in both the HTML and PDF versions of this article. Links to the digital files are provided in the HTML text of this article on the Journal’s Web site (www.anesthesiology.org).×
  • Correspondence: Address correspondence to Dr. Copetti: robcopet@gmail.com
Article Information
Images in Anesthesiology / Cardiovascular Anesthesia / Respiratory System
Images in Anesthesiology   |   May 2019
Lung Pulse with Pneumothorax: Examine the Thoracic Artery and Veins
Anesthesiology Newly Published on May 17, 2019. doi:10.1097/ALN.0000000000002756
Anesthesiology Newly Published on May 17, 2019. doi:10.1097/ALN.0000000000002756
The sonographic signs of pneumothorax include the following: presence of lung point(s), absence of lung sliding, absence of B-lines, and absence of lung pulse.1 
The lung pulse, described in 2003,2  is the rhythmic movement of the pleura in synchrony with the cardiac rhythm. Its presence indicates that the parietal and visceral pleura oppose one another, and so its presence rules out a pneumothorax. The internal thoracic arteries (ITAs) are a descendant branch of the subclavian artery, are located on both sides of the thorax near the sternum, and are each accompanied by two internal thoracic veins (ITVs), which drain into the subclavian vein. Panel A is an image obtained during video-assisted thoracoscopy and shows the internal thoracic artery and the accompanying veins close to the parietal pleura.