Thoracic Outlet Syndrome with Right Subclavian Artery Dilatation in a Child - Transaxillary Resection of the Pediatric Cervical Rib

2007 ◽  
Vol 55 (5) ◽  
pp. 339-341 ◽  
Author(s):  
S. Şen ◽  
B. Dişçigil ◽  
M. Boga ◽  
E. Ozkisacik ◽  
İ. İnci
Keyword(s):  
Subclavian Artery ◽  
Thoracic Outlet Syndrome ◽  
Cervical Rib

Undiagnosed bilateral complete cervical rib with subclavian artery aneurysm presenting as acute ischaemic limb following high-altitude expedition

2021 ◽  
Vol 14 (2) ◽  
pp. e241194
Author(s):  
Raja Lahiri ◽  
Udit Chauhan ◽  
Ajay Kumar ◽  
Nisanth Puliyath
Keyword(s):  
High Altitude ◽  
Subclavian Artery ◽  
Thoracic Outlet Syndrome ◽  
Artery Aneurysm ◽  
Limb Ischaemia ◽  
Cervical Rib ◽  
Subclavian Artery Aneurysm ◽  
Acute Limb Ischaemia ◽  
Arterial Thoracic Outlet Syndrome ◽  
Cervical Ribs

Arterial thoracic outlet syndrome is relatively rare and often exclusively seen in the presence of bony anomalies. High-altitude (HA) travel is commonly associated with thrombosis; however, arterial thromboembolism is less frequently described. We describe a case of a young man with undiagnosed bilateral cervical rib, who went for an HA trek, subsequent to which developed acute limb ischaemia of right arm. Diagnostic workup revealed a subclavian artery aneurysm as well along with complete bony bilateral cervical ribs. Thoracic outlet syndrome should be kept as a differential diagnosis in a case of acute limb ischaemia in a healthy adult.

Arterial Complications of Thoracic Outlet Syndrome

2009 ◽  
Vol 75 (3) ◽  
pp. 235-239 ◽  
Author(s):  
Lazar B. Davidović ◽  
Igor B. Končar ◽  
Siniša D. Pejkić ◽  
Ilija B. Kuzmanović
Keyword(s):  
Subclavian Artery ◽  
Complete Resolution ◽  
Thoracic Outlet Syndrome ◽  
Clavicle Fracture ◽  
Distal Embolization ◽  
Cervical Rib ◽  
First Rib ◽  
Arterial Complications ◽  
The Mean

Arterial complications of thoracic outlet compression have serious potential implications; however, these complications rarely appear. Between 1990 and 2006, prospectively collected data on 27 patients with arterial complications of thoracic outlet syndrome were analyzed. The causes of arterial compression were cervical rib (20 [74.1%]), abnormalities of the first thoracic rib (three [11.1%]), soft tissue anomalies (two [7.4%]), and hypertrophic callus after clavicle fracture (two [7.4%]). In all cases, a combined supraclavicular and infraclavicular approach was used. Decompression was achieved by cervical rib excision in 13 (48.1%) patients, combined cervical and first rib excision in seven (26%), and first rib excision in six (22.2%). Associated vascular procedures included resection and replacement of the subclavian artery (26 [97.3%]), one subclavian–axillary and one axillary–brachial bypass as well as 17 (63%) brachial embolectomies. The mean follow-up period was 7 years 4 months (range, 1-16 years). Two pleural entries, two transient brachial plexus injuries, and one subclavian artery rethrombosis were found. Complete resolution of symptoms with a return to full activity was noted in all cases. In surgical treatment, a combined anterior supraclavicular and infraclavicular approach is recommended as well as transbrachial embolectomy in all cases with symptoms of distal embolization.

scholarly journals Successful treatment of Subclavian artery thrombosis with gangrene of fingers- a case report

2009 ◽  
Vol 5 (1) ◽  
pp. 44-46
Author(s):  
Md Rezwanul Hoque ◽  
Sabrina Husain ◽  
Md Alauddin ◽  
Zerzina Rahman
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Male Patient ◽  
Subclavian Artery ◽  
Severe Pain ◽  
Thoracic Outlet Syndrome ◽  
Index Finger ◽  
Doctor Who ◽  
Cervical Rib ◽  
Artery Thrombosis

Mr. X, a smoker, normotensive, nondiabetic male patient of 24 years of age, presented with acute severe pain of the left upper extremity for 2 days. He had discoloration of the thumb and index finger for which he consulted a quack doctor who made an incision over the blackened area to drain subcutaneous collection and gave antibiotic and analgesics. There was no bleeding from the site of incision and regular dressing could not improve his condition. After waiting for 15 days without any improvement, he reported to a private clinic in Dhaka. Thorough physical examination and investigation revealed subclavian artery thrombosis due to cervical rib. The thoracic outlet syndrome was relieved by sclaneous muscle division and excision of the cervical rib, subclavian artery thrombectomy was possible through transbrachial route even after more than 2 weeks.   doi: 10.3329/uhj.v5i1.3443 University Heart Journal Vol. 5, No. 1, January 2009 44-46

scholarly journals Functional Subclavian Artery Compression Caused by Thoracic Outlet Syndrome

Circulation ◽  
2005 ◽  
Vol 112 (17) ◽  
Author(s):  
Gianluca Rigatelli ◽  
Massimo Rinuncini ◽  
Loris Roncon ◽  
Massimo Giordan ◽  
Pietro Zonzin
Keyword(s):  
Subclavian Artery ◽  
Thoracic Outlet Syndrome

scholarly journals Cervical Rib Surgery: A Study of 20 Cases

1970 ◽  
Vol 17 (1) ◽  
pp. 10-12 ◽  
Author(s):  
M Lutfor Rahman ◽  
G Mohammod ◽  
I Alam ◽  
MS Ali
Keyword(s):  
Upper Limb ◽  
Thoracic Outlet Syndrome ◽  
Small Study ◽  
Fibrous Band ◽  
Private Hospitals ◽  
Cervical Rib ◽  
Orthopedic Surgeon ◽  
Diagnosis And Management ◽  
Initial Surgery ◽  
Cervical Ribs

Cervical ribs give rise to vascular and neurogenic manifestation in the upper limb due to stretching and friction of neurovascular bundle in the base of the neck by numerous mechanisms that includes cervical ribs, anomalous ligament & hypertrophy of the scalenus anticus muscle. Controversy surrounds the diagnosis and management of thoracic outlet syndrome with or without cervical ribs. This is a small study of 20 cases carried out from 1994 to 2003 at RMCH, and some private hospitals. Out of them, 15 patients (75%) were male and 5 patients (25%) were female. The age of the patients was between 15 to 48 years (mean age 33 years) Unilateral cervical ribs were present in 75% cases and the rest 25% had bilateral cervical ribs. Only 3 patients presented with gangrenous upper limb. One of the patient attended to orthopedic surgeon first and amputation was planned. All the patient were treated through supra clavicular approach by excision of cervical ribs together with fibrous band. Only one patient did not respond to this initial surgery as symptoms persist and re-operation done by excision of first-rib and ultimately that patient become symptom free. In this study, authors explained their own experience of various way of presentation of cervical ribs, aetiology, different modalities of the treatment and their out come.     doi: 10.3329/taj.v17i1.3482 TAJ 2004; 17(1) : 10-12  

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