Home > Journals > Chirurgia > Past Issues > Chirurgia 2005 December;18(6) > Chirurgia 2005 December;18(6):469-72

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

CHIRURGIA

A Journal on Surgery


Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index

 

CASE REPORT  


Chirurgia 2005 December;18(6):469-72

Copyright © 2005 EDIZIONI MINERVA MEDICA

language: English

A case report of thoracic outlet syndrome with acute limb-threatening ischemia: options of management

Berchiolli R., Adami D., Del Corso A., Sardella S., Di Mitri R., Ferrari M.


PDF  


A young, otherwise healthy man was referred to our vascular service because of severe left arm ischaemia of three weeks duration. Chest X-ray showed a left cervical rib that was attached to the first rib. Dynamic angiography revealed left subclavian artery occlusion with distal embolization. We performed resection of the left cervical and first rib, scalenotomy and thromboendarterectomy of the subclavian artery with dacron patch angioplasthy by the supraclavicular approach. Catheter embolectomy was performed via brachial arteriotomy and wrist pulses recovered. The treatment was curative, with complete resolution of symptoms. Vascular thoracic outlet syndrome is rare but we emphasise the importance of early diagnosis to avoid the loss of the limb.

top of page

Publication History

Cite this article as

Corresponding author e-mail