Thoracic outlet syndrome due to compression of subclavian artery at first rib

Authors

  • Akshay Hemant Shah Department of Orthopaedics, D.Y. Patil University School of Medicine, Nerul, Navi Mumbai, Maharashtra
  • Sudhanshu R. Vyas Department of Orthopaedics, D.Y. Patil University School of Medicine, Nerul, Navi Mumbai, Maharashtra
  • Amit Dhond Department of Orthopaedics, D.Y. Patil University School of Medicine, Nerul, Navi Mumbai, Maharashtra
  • Ravindra G. Khedekar Department of Orthopaedics, D.Y. Patil University School of Medicine, Nerul, Navi Mumbai, Maharashtra
  • Sunil H. Shetty Department of Orthopaedics, D.Y. Patil University School of Medicine, Nerul, Navi Mumbai, Maharashtra

Keywords:

Thoracic outlet syndrome, Arterial thoracic outlet syndrome, aTOS, Compression of subclavian artery

Abstract

Thoracic Outlet Syndrome (TOS) refers to a constellation of signs and symptoms that arise from compression of the neurovascular bundle within the confined space of the thoracic outlet. Neurogenic (nTOS) from brachial plexus compression (95%), venous (vTOS) from subclavian vein compression (3%), & arterial (aTOS) from subclavian artery compression (1%). Most common clinical presentation of aTOS patients is distal upper extremity arterial emboli in otherwise healthy patient. Presenting a case report of arterial thoracic outlet syndrome. 

Metrics

Metrics Loading ...

References

Peet RM, Hendriksen JD, Anderson TP, Martin GM. Thoracic-outlet syndrome: evaluation of therapeutic exercise program. Proc Staff Meet Mayo Clin. 1956;31:281-7.

Sanders RJ, Roos DB. The surgical anatomic of the scalene triangle. Contemp Surg. 1989;35:11-6.

Short DW. The subclavian artery in 16 patients with complete cervical ribs. J Cardiovasc Surg (Torino). 1975;16:135-41.

Sanders RJ, Hammond SL. Management of cervical ribs and anomalous first ribs causing neurogenic thoracic outlet syndrome. J Vasc Surg. 2002;36:51-6.

Sanders RJ, Pearce WH. The treatment of thoracic outlet syndrome: a comparison of different operations. J Vasc Surg. 1989;10:626-34.

Durham JR, Yao JS, Pearce WH, Nuber GM, McCarthy WJ 3rd. Arterial injuries in the thoracic outlet syndrome. J Vasc Surg. 1995;21:57-70.

Cormier JM, Amrane M, Ward A, Laurian C, Gigou F. Arterial complications of the thoracic outlet syndrome: fifty-five operative cases. J Vasc Surg. 1989;9:778-87.

Mackinnon SE, Novak CB. Evaluation of the patient with thoracic outlet syndrome. Semin Thorac Cardiovasc Surg. 1996;8:190-200.

Komanetsky RM, Novak CB, Mackinnon SE, Russo MH, Padberg AM, Louis S. Somatosensory evoked potentials fail to diagnose thoracic outlet syndrome. J Hand Surg [Am]. 1996;21:662-6.

Reilly LM, Stoney RJ. Supraclavicular approach for thoracic outlet decompression. J Vasc Surg. 1988;8:329-34.

Downloads

Published

2017-01-05

How to Cite

Shah, A. H., Vyas, S. R., Dhond, A., Khedekar, R. G., & Shetty, S. H. (2017). Thoracic outlet syndrome due to compression of subclavian artery at first rib. International Journal of Research in Medical Sciences, 3(1), 338–341. Retrieved from https://www.msjonline.org/index.php/ijrms/article/view/1268

Issue

Vol. 3 No. 1 (2015): January 2015

Section

Case Reports