scholarly journals Cervical Rib causing Thrombosis of Subclavian Atery

2010 ◽  
Vol 49 (178) ◽  
Author(s):  
P Sharma ◽  
I Rasheed ◽  
MA Ansari ◽  
GS Gurung ◽  
SP Chataut
Keyword(s):  
Subclavian Artery ◽  
Upper Limb ◽  
Unusual Case ◽  
Left Subclavian Artery ◽  
Color Doppler ◽  
Doppler Studies ◽  
Complete Occlusion ◽  
X Ray ◽  
Cervical Rib ◽  
Cervical Ribs

We describe here an unusual case of thrombosis of left subclavian artery in a patient with cervical rib. The patient presented with features of ischaemia of left upper limb. X-ray chest revealed bilateral cervical ribs, longer on the left side. Color Doppler studies showed echogenic thrombus within the left subclavian artery. Angiography revealed complete occlusion of left subclavian artery. Embolectomy was done. She was planned for excision of rib. KEYWORDS:  cervical rib, thrombosis of subclavian artery.

scholarly journals Tracheostomy in Patients with Cervical Rib: A Note of Caution

2003 ◽  
Vol 82 (8) ◽  
pp. 626-627 ◽  
Author(s):  
Narayanan Prepageran ◽  
Rajagopalan Raman
Keyword(s):  
Subclavian Artery ◽  
Upper Limb ◽  
Unusual Case ◽  
Cervical Rib ◽  
Great Vessels

Cervical rib is a congenital phenomenon that usually occurs in association with upper-limb neurovascular symptoms. The presence of a cervical rib displaces the great vessels that cross the thoracic outlet superiorly and proceed into the neck. We report an unusual case of iatrogenic hemorrhage during a tracheostomy in a patient whose right subclavian artery had been displaced by a cervical rib. Our aim is to alert surgeons to the hidden risks of this phenomenon.

scholarly journals Cervical Rib Surgery: A Study of 20 Cases

1970 ◽  
Vol 17 (1) ◽  
pp. 10-12 ◽  
Author(s):  
M Lutfor Rahman ◽  
G Mohammod ◽  
I Alam ◽  
MS Ali
Keyword(s):  
Upper Limb ◽  
Thoracic Outlet Syndrome ◽  
Small Study ◽  
Fibrous Band ◽  
Private Hospitals ◽  
Cervical Rib ◽  
Orthopedic Surgeon ◽  
Diagnosis And Management ◽  
Initial Surgery ◽  
Cervical Ribs

Cervical ribs give rise to vascular and neurogenic manifestation in the upper limb due to stretching and friction of neurovascular bundle in the base of the neck by numerous mechanisms that includes cervical ribs, anomalous ligament & hypertrophy of the scalenus anticus muscle. Controversy surrounds the diagnosis and management of thoracic outlet syndrome with or without cervical ribs. This is a small study of 20 cases carried out from 1994 to 2003 at RMCH, and some private hospitals. Out of them, 15 patients (75%) were male and 5 patients (25%) were female. The age of the patients was between 15 to 48 years (mean age 33 years) Unilateral cervical ribs were present in 75% cases and the rest 25% had bilateral cervical ribs. Only 3 patients presented with gangrenous upper limb. One of the patient attended to orthopedic surgeon first and amputation was planned. All the patient were treated through supra clavicular approach by excision of cervical ribs together with fibrous band. Only one patient did not respond to this initial surgery as symptoms persist and re-operation done by excision of first-rib and ultimately that patient become symptom free. In this study, authors explained their own experience of various way of presentation of cervical ribs, aetiology, different modalities of the treatment and their out come.     doi: 10.3329/taj.v17i1.3482 TAJ 2004; 17(1) : 10-12  

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.

scholarly journals LEFT SUBCLAVIAN ARTERY RUPTURE DUE TO BLUNT THORACIC TRAUMA: A CASE REPORT

2017 ◽  
Vol 17 (2) ◽  
pp. 103-111
Author(s):  
Yopie Afriandi Habibie ◽  
Ign Wuryantoro
Keyword(s):  
Subclavian Artery ◽  
Thoracic Trauma ◽  
Left Subclavian Artery ◽  
Primary Repair ◽  
Median Sternotomy ◽  
Traumatic Rupture ◽  
Blunt Thoracic Trauma ◽  
X Ray ◽  
Massive Hemothorax ◽  
Chest X Ray

Abstrak. Trauma tumpul toraks memiliki insiden yang sangat tinggi pada populasi dewasa, 20 – 50 % dari kasus dapat mengakibatkan kematian. Cedera pada struktur pembuluh darah dari bagian dada atas, terutama pembuluh darah arteri subklavia kiri, sangat jarang ditemukan dan biasanya disertai dengan “hematotoraks massif”. Observasi ketat dari tanda- tanda vital dan foto toraks serial sangatlah penting. Kami paparkan sebuah kasus jarang dari seorang pasien yang mengalami cedera traumatik arteri subklavia kiri. Tidak ditemukan gambaran klinis dari hematoma di supra klavikula, pulsasi arteri radialis kiri tidak teraba, dan tidak ditemukan pelebaran dari mediastinum pada foto toraks. Tetapi didapatkan hematotoraks massif kiri. Dilakukan posterolateral torakotomi kiri, dijumpai sumber perdarahan dari bagian apex paru kiri, dicurigai terdapatnya robekan dari pembuluh darah arteri subklavia kiri. Tindakan dilanjutkan dengan insisi median sternotomy yang diperluas ke arah supraklavikula kiri, ditemukan rupture total dari arteri subklavia kiri dengan jarak 1,5 cm proksimal dari arkus aorta. Tindakan repair (perbaikan) arteri secara primer (end to end anastomosis) dilakukan dengan hasil baik. (JKS 2017; 2: 105-114)Kata kunci : Trauma tumpul toraks, hematotoraks massif, cedera arteri subklavia kiriAbstract. Blunt thoracic trauma highest incidence is in adult, 20% to 50 % of the trauma cause death. Injuries to the vascular structures of the thoracic outlet, especially left subclavian artery, are rare and typically accompanied by massive  hemorrhage. Close observation of vital sign and serial chest x-ray are very important. We describe an unusual presentation of a patient who suffered traumatic rupture of left subclavian artery. No clinical presentation of supraclavicular hematoma, unilateral absence of radial artery pulse and mediastinal widening in chest x-ray was found, but there is a massive hemothorax. Left posterolateral thoracotomy was performed, the source of bleeding was found in the apex of the lung, suspected a rupture of the left subclavian artery. The procedure continued with median sternotomy extended to left supraclavicular incision, a rupture was found in the left subclavian artery, 1,5 cm proximal to aortic arch. Primary repair was done with a good result. (JKS 2017; 2: 105-114)Key Words : Blunt thoracic trauma, massive hemothorax, left subclavian artery rupture

scholarly journals LEFT SUBCLAVIAN ARTERY RUPTURE DUE TO BLUNT THORACIC TRAUMA: A CASE REPORT

2018 ◽  
Vol 18 (2) ◽  
pp. 93-100
Author(s):  
Yopie Afriandi Habibie ◽  
Ign Wuryantoro
Keyword(s):  
Subclavian Artery ◽  
Thoracic Trauma ◽  
Left Subclavian Artery ◽  
Primary Repair ◽  
Median Sternotomy ◽  
Traumatic Rupture ◽  
Blunt Thoracic Trauma ◽  
X Ray ◽  
Massive Hemothorax ◽  
Chest X Ray

Abstract. Blunt thoracic trauma highest incidence is in adult, 20% to 50 % of the trauma cause death. Injuries to the vascular structures of the thoracic outlet, especially left subclavian artery, are rare and typically accompanied by massive  hemorrhage. Close observation of vital sign and serial chest x-ray are very important. We describe an unusual presentation of a patient who suffered traumatic rupture ofleft subclavian artery. No clinical presentation of supraclavicular hematoma, unilateral absence of radial artery pulse and mediastinal widening in chest x-ray was found, but there is a massive hemothorax. Left posterolateral thoracotomy was performed, the source of bleeding was found in the apex of the lung, suspected a rupture of the left subclavian artery. The procedure continued with median sternotomy extended to left supraclavicular incision, a rupture was found in the left subclavian artery, 1,5 cm proximal to aortic arch. Primary repair was done with a good result. Key Words : Blunt thoracic trauma, massive hemothorax, left subclavian artery rupture

Left Subclavian Artery Kinking: An Unusual Cause of Partial Subclavian Steal Syndrome

2021 ◽  
pp. 154431672110309
Author(s):  
Mariana de Gregório Faria ◽  
Mauro de Deus Passos ◽  
Dilson Palhares Ferreira ◽  
Luciano Moreira Alves
Keyword(s):  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Color Doppler ◽  
Color Doppler Ultrasound ◽  
Computed Tomographic Angiography ◽  
Subclavian Steal Syndrome ◽  
Computed Tomographic ◽  
Subclavian Steal ◽  
Tomographic Angiography ◽  
Steal Syndrome

This report describes the case of a 63-year-old asymptomatic patient presenting findings compatible with partial subclavian steal syndrome on color Doppler ultrasound of the carotid and vertebral arteries. The ultrasonic analysis of the cervical vessels showed no apparent cause to justify the subclavian steal. Computed tomographic angiography of the thoracic aorta showed left subclavian artery kinking proximal to the origin of the vertebral artery, an extremely rare finding that led to the subclavian steal. The patient underwent conservative treatment.

scholarly journals Critical Upper Limb Ischemia due to Subclavian Artery Compression Caused by Initially Undiagnosed Cervical Rib - A Case Report

2016 ◽  
Vol 11 (1) ◽  
pp. 48-51
Author(s):  
Sultan Mahmud ◽  
Omar Sadeque Khan ◽  
Abdullah Al Mamun ◽  
Fidah Hossain ◽  
Md Aftabuddin ◽  
...  
Keyword(s):  
Subclavian Artery ◽  
Upper Limb ◽  
Artery Aneurysm ◽  
Limb Ischemia ◽  
Arterial Tree ◽  
Critical Ischemia ◽  
Cervical Rib ◽  
Subclavian Artery Aneurysm ◽  
Rare Lesion ◽  
The Right

True subclavian artery aneurysms are relatively rare events. Thoracic outlet compression is responsible for 75% of those aneurysms. They are formed as a result of compression of subclavian artery, for example a cervical rib. A case of subclavian artery aneurysm secondary to cervical rib in a 35 year old young adult, who presented with a critical ischemia in his dominant right upper limb. Plain x-ray of cervical spine revealed bilateral cervical ribs and duplex study of the both upper limb arteries concluded aneurysmal dilatation of mid-distal subclavian artery of both sides with mural thrombus on the right side, marked distal ischemia in the right upper limb due to occlusive thrombus in the distal arterial tree, normal distal arterial flow in the left upper limb. Although it is a rare lesion, cervical rib leading to thoracic outlet compression should always be included in the differential diagnosis of a critically ischemic limb in young age group. Surgical management should be considered in a patient with subclavian artery aneurysm due to cervical rib to prevent additional embolic events.University Heart Journal Vol. 11, No. 1, January 2015; 48-51

scholarly journals An unusual case of the syndrome of cervical rib with subclavian artery thrombosis and cerebellar and cerebral infarctions

BMC Neurology ◽  
2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Mirza Jusufovic ◽  
Else Charlotte Sandset ◽  
Trine Haug Popperud ◽  
Steinar Solberg ◽  
Geir Ringstad ◽  
...  
Keyword(s):  
Subclavian Artery ◽  
Unusual Case ◽  
Cervical Rib ◽  
Artery Thrombosis

scholarly journals Young Lady with Acute Upper Limb Ischemia due to Cervical Band

2016 ◽  
Vol 33 (2) ◽  
pp. 101-104
Author(s):  
Shantonu Kumar Ghosh ◽  
Omar Sadeque Khan ◽  
Saleh Ahmed Nurul Alam ◽  
Mohammad Aftabuddin ◽  
Asit Baran Adhikary
Keyword(s):  
Subclavian Artery ◽  
Upper Limb ◽  
Artery Aneurysm ◽  
Limb Ischemia ◽  
Postoperative Recovery ◽  
Young Lady ◽  
Arterial Reconstruction ◽  
Cervical Rib ◽  
Subclavian Artery Aneurysm ◽  
Uneventful Postoperative Recovery

Introduction: Acute upper limb ischemia is usually caused by compression of cervical rib on subclavian artery. But in very few cases compression may be caused by cervical band which is not evident in conventional radiography.Results and Discussion: This is a case of a 26 year old lady, housewife, having rudimentary cervical rib, presented with acute left upper limb ischemia due to subclavian artery aneurysm. Peroperatively cervical fibrotic bandwas identified and diagnosed as the cause of subclavian artery aneurysm instead of rudimentary cervical rib. Scalenectomy, excision of the cervical band, excision of the aneurysmsac and arterial reconstruction of the subclavian artery was performed. Her operation was uneventful, postoperative recovery was excellent. She was discharged to home on 4th postoperative day ensuring good distal pulsation of affected limb.Conclusion: Though rare, cervical band is a cause of acute upper limb ischemia. So, we must not forget while diagnosing this type of cases.J Bangladesh Coll Phys Surg 2015; 33(2): 101-104

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