scholarly journals The Clinical Presentation and Management of Arterial Thoracic Outlet Syndrome

2016 ◽  
Vol 64 (3) ◽  
pp. 880
Author(s):  
Chandu Vemuri ◽  
Lauren N. McLaughlin ◽  
Ahmmad A. Abuirqeba ◽  
Robert W. Thompson
Keyword(s):  
Thoracic Outlet Syndrome ◽  
Clinical Presentation ◽  
Arterial Thoracic Outlet Syndrome

scholarly journals Embolic Stroke and Pulseless Right Arm in a Schoolgirl with Arterial Thoracic Outlet Syndrome: A Case Report

2013 ◽  
Vol 28 (1) ◽  
pp. 63-66
Author(s):  
Aminur Rahman ◽  
Firoz Ahmed Quraishi ◽  
Uttam Kumar Saha ◽  
Maliha Hakim ◽  
Afzal Momin ◽  
...  
Keyword(s):  
Subclavian Artery ◽  
Thoracic Outlet Syndrome ◽  
Clinical Presentation ◽  
Embolic Stroke ◽  
School Girl ◽  
Artery Thrombosis ◽  
Retrograde Blood Flow ◽  
The Right ◽  
Distal Disease ◽  
Arterial Thoracic Outlet Syndrome

A rare clinical presentation arterial Thoracic outlet syndrome (TOS) is described in a young school-girl. TOS causing distal; disease is a rare cause of artery to- artery embolic stroke. Brain-stem ischemic stroke is a result of compromise to the posterior circulation. This is often due to antegrade embolism from the heart or proximal vessels. Retrograde blood flow has been described in the subclavian artery, thus making the distal subclavian artery a source of possible retrograde embolism to carotid circulation1. Clinical presentation also included left hemiparesis caused by right subclavian artery thrombosis and retrograde embolizatoin of thrombus via common carotid artery to the right middle cerebral artery (MCA) distribution.Bangladesh Journal of Neuroscience 2012; Vol. 28 (1): 63-66

scholarly journals Clinical presentation and management of arterial thoracic outlet syndrome

2017 ◽  
Vol 65 (5) ◽  
pp. 1429-1439 ◽  
Author(s):  
Chandu Vemuri ◽  
Lauren N. McLaughlin ◽  
Ahmmad A. Abuirqeba ◽  
Robert W. Thompson
Keyword(s):  
Thoracic Outlet Syndrome ◽  
Clinical Presentation ◽  
Arterial Thoracic Outlet Syndrome

Undiagnosed bilateral complete cervical rib with subclavian artery aneurysm presenting as acute ischaemic limb following high-altitude expedition

2021 ◽  
Vol 14 (2) ◽  
pp. e241194
Author(s):  
Raja Lahiri ◽  
Udit Chauhan ◽  
Ajay Kumar ◽  
Nisanth Puliyath
Keyword(s):  
High Altitude ◽  
Subclavian Artery ◽  
Thoracic Outlet Syndrome ◽  
Artery Aneurysm ◽  
Limb Ischaemia ◽  
Cervical Rib ◽  
Subclavian Artery Aneurysm ◽  
Acute Limb Ischaemia ◽  
Arterial Thoracic Outlet Syndrome ◽  
Cervical Ribs

Arterial thoracic outlet syndrome is relatively rare and often exclusively seen in the presence of bony anomalies. High-altitude (HA) travel is commonly associated with thrombosis; however, arterial thromboembolism is less frequently described. We describe a case of a young man with undiagnosed bilateral cervical rib, who went for an HA trek, subsequent to which developed acute limb ischaemia of right arm. Diagnostic workup revealed a subclavian artery aneurysm as well along with complete bony bilateral cervical ribs. Thoracic outlet syndrome should be kept as a differential diagnosis in a case of acute limb ischaemia in a healthy adult.

Arterial Thoracic Outlet Syndrome

2018 ◽  
Author(s):  
Besem Beteck ◽  
John Eidt ◽  
Bradley Grimsley
Keyword(s):  
Subclavian Artery ◽  
Thoracic Outlet Syndrome ◽  
Computed Tomographic Angiography ◽  
Rib Resection ◽  
Computed Tomographic ◽  
First Rib ◽  
Arterial Complication ◽  
Scalene Triangle ◽  
First Rib Resection ◽  
Arterial Thoracic Outlet Syndrome

Arterial thoracic outlet syndrome (TOS) is the least common form of TOS in adults. It is an entity that is associated with bony anomalies resulting in chronic subclavian artery compression. Most patients with arterial TOS are young adults presenting either with limb-threatening upper extremity ischemia or chronic symptoms suggestive of arterial insufficiency involving the extremity. Initial diagnostic evaluation involves chest radiography, which may reveal cervical or anomalous first rib. Catheter-based arteriography has a diagnostic as well as therapeutic role. Magnetic resonance angiography and computed tomographic angiography, which are readily available, can be used in surgical planning. Treatment involves revascularization of the extremity, subsequent first rib resection, and possible reconstruction of the subclavian artery. This review contains 4 figures, 1 table and 45 references Key Words: arterial complication, brachial thromboembolectomy, cervical rib, costoclavicular space, first rib resection, pectoralis minor space, scalene triangle, subclavian artery stenosis, thoracic outlet syndrome

Thoracic Outlet Syndrome

2016 ◽  
Author(s):  
Mark W Fugate ◽  
Julie A Freischlag
Keyword(s):  
Multimodal Treatment ◽  
Thoracic Outlet Syndrome ◽  
Venous Flow ◽  
Treatment Algorithms ◽  
Effort Thrombosis ◽  
First Rib Resection ◽  
Neurovascular Structures ◽  
Arterial Thoracic Outlet Syndrome ◽  
Cervical Ribs ◽  
Neurogenic Tos

Thoracic outlet syndrome (TOS) is a condition caused by compression of the neurovascular structures leading to the arm passing through the thoracic outlet. The incidence of TOS is reported as 0.3 to 2% in the general population. There are three distinct types of TOS: neurogenic (95%), venous (4%), and arterial (1%). Treatment algorithms depend on the type of TOS. Arterial and venous TOS often present urgently with arterial or venous thrombosis, which is fairly easily identified by thorough history taking and a physical examination. Diagnosis is also aided by duplex ultrasonography. Restoration of arterial or venous flow can often be readily accomplished by thrombolysis. More important, however, is the diagnosis of the underlying structural component involved in the development of symptoms. Although statistically the most common, neurogenic TOS is often the most difficult to diagnose and treat. There are good data indicating that appropriately selected patients benefit from surgical therapy for neurogenic TOS as well. To prevent recurrence of symptoms, patients must undergo first rib resection and anterior scalenectomy, as well as resection of any rudimentary or cervical ribs. Regardless of the type of TOS encountered, proper therapy requires a thorough diagnostic evaluation and multimodal treatment. Keywords: thoracic outlet syndrome, arterial thoracic outlet syndrome, neurogenic thoracic outlet syndrome, venous thoracic outlet syndrome, TOS, effort thrombosis, thoracic outlet decompression

Diagnosis and Treatment of Arterial Thoracic Outlet Syndrome in a Collegiate Volleyball Player: A Case Report

2020 ◽  
Vol 25 (6) ◽  
pp. 307-313
Author(s):  
Katherine Craig ◽  
Shannon L. Jordan ◽  
Daniel R. Chilek ◽  
Doug Boatwright ◽  
Julio Morales
Keyword(s):  
Case Report ◽  
Range Of Motion ◽  
Sports Medicine ◽  
Thoracic Outlet Syndrome ◽  
Return To Play ◽  
Provocation Tests ◽  
Volleyball Player ◽  
First Rib ◽  
First Rib Resection ◽  
Arterial Thoracic Outlet Syndrome

A 19-year-old female volleyball player reported shoulder pain, numbness, tingling, and difficulty gripping in her left arm. Provocation tests were positive for thoracic outlet syndrome (TOS). Duplex ultrasonography revealed occlusion of the subclavian artery. The athlete underwent a first rib resection and scalenectomy. A cervical rib and 75% of the first rib were excised. Rehabilitation consisted of regaining range of motion and strength. Return to play occurred after 14 weeks of rehabilitation. Thoracic outlet syndrome is rare and often misdiagnosed. All sports medicine professionals should have an understanding of TOS symptoms and path to diagnosis.

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