Recurrent arterial and new-onset neurogenic thoracic outlet syndrome as a complication after previously inadequately excised first and cervical ribs.

Autor:	Gadiwalla Q; School of Medicine, George Washington University, Washington, DC., Dong S; School of Medicine, George Washington University, Washington, DC., Recarey M; School of Medicine, George Washington University, Washington, DC., Nguyen B; Division of Vascular Surgery, Department of Surgery, George Washington University, Washington, DC., Lala S; Division of Vascular Surgery, Department of Surgery, George Washington University, Washington, DC.
Jazyk:	angličtina
Zdroj:	Journal of vascular surgery cases and innovative techniques [J Vasc Surg Cases Innov Tech] 2022 May 20; Vol. 8 (3), pp. 328-330. Date of Electronic Publication: 2022 May 20 (Print Publication: 2022).
DOI:	10.1016/j.jvscit.2022.04.011
Abstrakt:	Thoracic outlet syndrome commonly presents with the neurogenic subtype and can be caused in rare circumstances by an anatomic abnormality such as a cervical rib, for which surgical excision is the mainstay of management. An inadequately excised first or cervical rib can result in recurrent symptoms. We have reported the case of a 30-year-old woman who had presented with symptoms of right recurrent arterial and neurogenic thoracic outlet syndrome. She underwent repeat right-sided first rib and cervical rib resection with brachial plexus neural lysis and right carotid-axillary bypass via a combined supraclavicular and infraclavicular approach. At 12 months of follow-up, improvement in her symptoms was noted. (© 2022 The Authors.)
Databáze:	MEDLINE
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