Residual first rib resection aided by partial second rib resection in the treatment of recurrent thoracic outlet syndrome

Thoracic outlet syndrome (TOS) describes compression of the neurovascular bundle of the brachial plexus, subclavian artery, and/or subclavian vein as they leave the thoracic outlet. A 40-year-old female with history of thoracic outlet syndrome status-post left first rib resection presented in 2021 w...

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Bibliographic Details
Published in:Annals of vascular surgery. Brief reports and innovations 2022-09, Vol.2 (3), p.100118, Article 100118
Main Authors: Wiley, Aidan P., Costa, Casey G., Pothering, Christian A., Freischlag, Julie A.
Format: Article
Language:English
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Summary:Thoracic outlet syndrome (TOS) describes compression of the neurovascular bundle of the brachial plexus, subclavian artery, and/or subclavian vein as they leave the thoracic outlet. A 40-year-old female with history of thoracic outlet syndrome status-post left first rib resection presented in 2021 with symptoms of recurrent TOS due to the presence of a residual first rib. A transaxillary approach was performed and a partial second rib resection was required to remove the residual first rib. At 4½-month follow-up, there was improvement in all symptoms.
ISSN:2772-6878
2772-6878
DOI:10.1016/j.avsurg.2022.100118