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Arterial Thromboembolism Secondary to Thoracic Outlet Syndrome

Received: 21 May 2017     Accepted: 16 August 2017     Published: 17 October 2017
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Abstract

Effective treatment of arterial thoracic outlet syndrome includes early recognition and timely correction, with sufficient decompression of the thoracic outlet. A 56-year-old female suffered recrudescent right upper extremity ischemia due to thromboembolic event, raising suspicion for arterial thoracic outlet syndrome and prompting further imaging studies for confirmation. Decompression of the thoracic outlet by first rib resection and scalenectomy, followed by stenting of the diseased subclavian artery, allowed for resolution of arterial thoracic outlet syndrome.

Published in International Journal of Cardiovascular and Thoracic Surgery (Volume 3, Issue 4)
DOI 10.11648/j.ijcts.20170304.12
Page(s) 28-31
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Thoracic Outlet Syndrome, Thromboembolism, Upper Extremity Claudication

References
[1] Marine L, Valdes F, Mertens R, Kramer A, Bergoeing M, Urbina J. Arterial thoracic outlet syndrome: a 32-year experience. Ann Vasc Surg. 2013; 27(8):1007-1013.
[2] Patton, GM, Arterial thoracic outlet syndrome. Hand Clin 2004;20:107-11.
[3] Fugate, Mark W.; Rotellini-Coltvet, Lisa; Freischlag, Julie A. (2009). "Current management of thoracic outlet syndrome". Current Treatment Options in Cardiovascular Medicine. 11 (2): 176–83.
[4] Roos D. Historical perspectives and anatomic considerations. Thoracic outlet syndrome. Semin Thorac Cardiovasc Surg, 1996; 8(2),183–189
[5] Hooper TL, Denton J, McGalliard MK, Brismée JM, Sizer PS Jr. Thoracic outlet syndrome: a controversial clinical condition. Part 1: anatomy and clinical examination/diagnosis. J Man Manip Ther. 2010 June; 18(2): 74–83.
[6] Criado E, Berguer R, Greenfield L. The spectrum of arterial compression at the thoracic outlet. J. Vasc. Surg. 2010; 52:406-11.
[7] Sanders RJ, Hammond SL, Rao NM. Diagnosis of thoracic outlet syndrome. J Vasc Surg 2007; 46:601-4.
[8] Daniels B, Michaud L, Sease F, Cassas K, Gray B. Arterial Thoracic Outlet Syndrome. Current Sports Medicine Reports 2014; 13(2).75-80.
[9] Durham JR, Yao JST, Pearce WH, Nuber GM, McCarthy WJ. Arterial injuries in the thoracic outlet syndrome. J. Vasc. Surg. 1995; 21:57Y70.
[10] Hussain MA, Aljabri B, Al-Omran M. Vascular Thoracic Outlet Syndrome. Seminars in Thoracic and Cardiovascular Surgery, 2016; 28(1) 151-7.
[11] Chen H, Doornbos N, Williams K, Criado E. Physiologic variations in venous and arterial hemodynamics in response to postural changes at the thoracic outlet in normal volunteers. Annals of Vascular Surgery. 2014 Oct;28(7):1583-8.
[12] Likes K, Dapash T, Rochlin DH, Freischlag JA. Remaining or residual first ribs are the cause of recurrent thoracic outlet syndrome. Ann Vasc Surg 2014;28(4):939–945.
[13] Aljabri B, Al-Omran M. Surgical management of vascular thoracic outlet syndrome: a teaching hospital experience. Ann Vasc Dis 2013;6:74-9.
Cite This Article
  • APA Style

    Lauren Kopicky, Kristian Hochberg. (2017). Arterial Thromboembolism Secondary to Thoracic Outlet Syndrome. International Journal of Cardiovascular and Thoracic Surgery, 3(4), 28-31. https://doi.org/10.11648/j.ijcts.20170304.12

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    ACS Style

    Lauren Kopicky; Kristian Hochberg. Arterial Thromboembolism Secondary to Thoracic Outlet Syndrome. Int. J. Cardiovasc. Thorac. Surg. 2017, 3(4), 28-31. doi: 10.11648/j.ijcts.20170304.12

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    AMA Style

    Lauren Kopicky, Kristian Hochberg. Arterial Thromboembolism Secondary to Thoracic Outlet Syndrome. Int J Cardiovasc Thorac Surg. 2017;3(4):28-31. doi: 10.11648/j.ijcts.20170304.12

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  • @article{10.11648/j.ijcts.20170304.12,
      author = {Lauren Kopicky and Kristian Hochberg},
      title = {Arterial Thromboembolism Secondary to Thoracic Outlet Syndrome},
      journal = {International Journal of Cardiovascular and Thoracic Surgery},
      volume = {3},
      number = {4},
      pages = {28-31},
      doi = {10.11648/j.ijcts.20170304.12},
      url = {https://doi.org/10.11648/j.ijcts.20170304.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20170304.12},
      abstract = {Effective treatment of arterial thoracic outlet syndrome includes early recognition and timely correction, with sufficient decompression of the thoracic outlet. A 56-year-old female suffered recrudescent right upper extremity ischemia due to thromboembolic event, raising suspicion for arterial thoracic outlet syndrome and prompting further imaging studies for confirmation. Decompression of the thoracic outlet by first rib resection and scalenectomy, followed by stenting of the diseased subclavian artery, allowed for resolution of arterial thoracic outlet syndrome.},
     year = {2017}
    }
    

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    AU  - Lauren Kopicky
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    T2  - International Journal of Cardiovascular and Thoracic Surgery
    JF  - International Journal of Cardiovascular and Thoracic Surgery
    JO  - International Journal of Cardiovascular and Thoracic Surgery
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    AB  - Effective treatment of arterial thoracic outlet syndrome includes early recognition and timely correction, with sufficient decompression of the thoracic outlet. A 56-year-old female suffered recrudescent right upper extremity ischemia due to thromboembolic event, raising suspicion for arterial thoracic outlet syndrome and prompting further imaging studies for confirmation. Decompression of the thoracic outlet by first rib resection and scalenectomy, followed by stenting of the diseased subclavian artery, allowed for resolution of arterial thoracic outlet syndrome.
    VL  - 3
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Author Information
  • Department of Surgery, Arnot Ogden Medical Center, Elmira, NY, USA

  • Department of Surgery, Arnot Ogden Medical Center, Elmira, NY, USA

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