Unusual etiology of upper extremity ischemia in a scleroderma patient: thoracic outlet syndrome with arterial embolization
| Autor: | Albert G. Hakaim, Beate Hugl, Scott T. Persellin, W. Andrew Oldenburg |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Embolism Ischemia Diagnosis Differential Upper Extremity Blood Vessel Prosthesis Implantation Subclavian Steal Syndrome medicine.artery medicine Humans cardiovascular diseases Embolization Subclavian artery Thoracic outlet syndrome Rib cage Cervical rib business.industry Arterial Embolization Raynaud Disease Middle Aged medicine.disease Surgery Stenosis Thoracic Outlet Syndrome Treatment Outcome Scleroderma Diffuse cardiovascular system Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of vascular surgery. 45(6) |
| ISSN: | 0741-5214 |
| Popis: | Although the causes of digital ischemia and necrosis are diverse in women, the most common etiology is connective tissue disease. We describe a patient with scleroderma who presented with arm ischemia secondary to arterial embolization from thoracic outlet syndrome. Her sublavian artery was compressed by the anterior scalene muscle and a cervical rib, leading to a stenosis with poststenotic dilation of the artery. Within the aneurysmal formation was a thrombus, which was probably the source of the distal embolization. The patient underwent surgical resection of the cervical and first rib. The abnormal portion of the subclavian artery was resected and replaced with an interposition graft. |
| Databáze: | OpenAIRE |
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