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Surgical treatment of cervical rib-associated arterial thoracic outlet syndrome

The arterial form of thoracic outlet syndrome is rare and is associated with anatomic anomalies, generally a cervical rib. It has a varied range of manifestations. The aim of this article is to describe two cases with different clinical presentations: microembolization and aneurysm. A cervical rib w...

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Detalles Bibliográficos
Autores principales: da Silva, Elpidio Ribeiro, Dalio, Marcelo Bellini, Santarosa, Marco Bianco, Oliveira, Tércio Ferreira, Ribeiro, Maurício Serra, Joviliano, Edwaldo Edner
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8147708/
https://www.ncbi.nlm.nih.gov/pubmed/34093679
http://dx.doi.org/10.1590/1677-5449.200106_PT
Descripción
Sumario:The arterial form of thoracic outlet syndrome is rare and is associated with anatomic anomalies, generally a cervical rib. It has a varied range of manifestations. The aim of this article is to describe two cases with different clinical presentations: microembolization and aneurysm. A cervical rib was present in both cases. Diagnosis was made on the basis of history, physical examination, postural maneuvers, and X-rays. Computed tomography angiography provided the anatomic detail necessary to plan surgery. Surgical treatment was performed via supraclavicular access, successfully, in both cases.