da Silva ER, Dalio MB, Santarosa MB, Oliveira TF, Ribeiro MS, Joviliano EE. Surgical treatment of cervical rib-associated arterial thoracic outlet syndrome.
J Vasc Bras 2021;
20:e20200106. [PMID:
34093679 PMCID:
PMC8147708 DOI:
10.1590/1677-5449.200106_pt]
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Abstract
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.
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