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A small scar at the 5th intercostal space is most suggestive of what type of surgical intervention?

Question

A small scar at the 5th intercostal space is most suggestive of what type of surgical intervention?

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Solution

A small scar at the 5th intercostal space typically indicates a surgical intervention related to the chest cavity. This specific location is commonly associated with procedures involving the heart or lungs. The 5th intercostal space is relevant for:

  1. Thoracotomy: A surgical incision into the chest wall to gain access to the thoracic organs. This procedure may be conducted for various reasons, including lung surgery, heart surgeries such as valve repair or replacement, or mitral valve surgeries.

  2. Cardiac Procedures: Many cardiac surgeries, especially those performed via a lateral approach, can leave a scar in this area. Procedures such as coronary artery bypass grafting (CABG) may also lead to incisions in the same location.

In summary, a small scar situated at the 5th intercostal space most strongly suggests a history of cardiac or thoracic surgical intervention, such as a thoracotomy or heart surgery.

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