Thoracic Outlet Syndrome in Children and Young Adults

Abstract Objectives Thoracic outlet syndrome has been well described in the population between 25 and 40 years of age, and is less frequently reported in those in the first two decades of life. The objective of this study was to review results with onset of TOS in the first two decades of life to de...

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Bibliographic Details
Published in:European journal of vascular and endovascular surgery 2009-11, Vol.38 (5), p.560-564
Main Authors: Maru, S, Dosluoglu, H, Dryjski, M, Cherr, G, Curl, G.R, Harris, L.M
Format: Article
Language:English
Subjects:
Adolescent
Artery
Child
Female
Humans
Male
Pediatric
Retrospective Studies
Surgery
Surveys and Questionnaires
Thoracic outlet
Thoracic Outlet Syndrome - complications
Thoracic Outlet Syndrome - diagnosis
Thoracic Outlet Syndrome - surgery
Time Factors
Treatment Outcome
Vascular Surgical Procedures - adverse effects
Vein
Young Adult
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Summary:Abstract Objectives Thoracic outlet syndrome has been well described in the population between 25 and 40 years of age, and is less frequently reported in those in the first two decades of life. The objective of this study was to review results with onset of TOS in the first two decades of life to determine type of presentation and outcomes from surgical intervention. Methods and materials Charts of all patients in the first two decades of life, operated on for TOS between 1994 and 2006 were reviewed with follow-up by clinic visit and phone survey to assess the patients' current level of activity and relief from symptoms. Results Twelve patients were identified (13 operations), with a mean age of 16.8 years. Acute ischemic symptoms were the initial presentation for 38%, venous TOS in 24%, and neurogenic symptoms in 38%. All patients had symptom relief with surgery with a mean time to resolution of 10.9 weeks. All patients remained symptom free or improved at follow-up. Conclusions Vascular TOS is much more common in TOS presenting in the first two decades of life. Surgical intervention for TOS in this population results in long-lasting symptom relief and should be considered for all subtypes of patients.
ISSN:1078-5884
1532-2165
DOI:10.1016/j.ejvs.2009.06.015