Vascular thoracic outlet syndrome. Longer posterior rib stump causes poor outcome

To assess the role of the relative length of the posterior rib stump in outcome after transaxillary first rib resection for thoracic outlet syndrome. All patients with a transaxillary first rib resection between January 1990 and February 2004 were selected. Relative rib stump length was calculated b...

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Bibliographic Details
Published in:European journal of cardio-thoracic surgery 2006-08, Vol.30 (2), p.232-236
Main Authors: GEVEN, Leontien I, SMIT, Andries J, EBELS, Tjark
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Female
Humans
Male
Medical sciences
Middle Aged
Plethysmography
Pneumology
Radiography
Retrospective Studies
Ribs - diagnostic imaging
Ribs - pathology
Ribs - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Thoracic Outlet Syndrome - diagnosis
Thoracic Outlet Syndrome - surgery
Thoracic Vertebrae - pathology
Treatment Outcome
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Summary:To assess the role of the relative length of the posterior rib stump in outcome after transaxillary first rib resection for thoracic outlet syndrome. All patients with a transaxillary first rib resection between January 1990 and February 2004 were selected. Relative rib stump length was calculated by dividing the length of the posterior rib stump by the height of the 10th thoracic vertebra. Measurements were made on postoperative X-rays. Outcome was defined as excellent, good, fair, or poor. Surgical outcome was excellent in 11 procedures (28.2%), good in 12 procedures (30.8%), fair in 9 (23.1%), and poor in 7 procedures (17.9%). Correlation of the outcome with the relative rib stump length gives a coefficient of .374 (P=.02). After exclusions of 3 patients with other medical conditions explanatory for remaining pain in the operated limb, the correlation coefficient was .614 (P
ISSN:1010-7940
1873-734X
DOI:10.1016/j.ejcts.2006.04.018