Advanced Search

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



A Journal on Surgery

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

Frequency: Bi-Monthly

ISSN 0394-9508

Online ISSN 1827-1782


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


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.

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.

language: English


top of page