Recurrent arterial and new-onset neurogenic thoracic outlet syndrome as a complication after previously inadequately excised first and cervical ribs

Authors

Qasim Gadiwalla, School of Medicine, George Washington University, Washington, DC.
Shane Dong, School of Medicine, George Washington University, Washington, DC.
Melina Recarey, School of Medicine, George Washington University, Washington, DC.
Bao Nguyen, Division of Vascular Surgery, Department of Surgery, George Washington University, Washington, DC.
Salim Lala, Division of Vascular Surgery, Department of Surgery, George Washington University, Washington, DC.

Document Type

Journal Article

Publication Date

9-1-2022

Journal

Journal of vascular surgery cases and innovative techniques

Volume

8

Issue

3

DOI

10.1016/j.jvscit.2022.04.011

Keywords

Arterial; Cervical rib; Neurogenic; Recurrent; Thoracic outlet syndrome

Abstract

Thoracic outlet syndrome commonly presents with the neurogenic subtype and can be caused in rare circumstances by an anatomic abnormality such as a cervical rib, for which surgical excision is the mainstay of management. An inadequately excised first or cervical rib can result in recurrent symptoms. We have reported the case of a 30-year-old woman who had presented with symptoms of right recurrent arterial and neurogenic thoracic outlet syndrome. She underwent repeat right-sided first rib and cervical rib resection with brachial plexus neural lysis and right carotid-axillary bypass via a combined supraclavicular and infraclavicular approach. At 12 months of follow-up, improvement in her symptoms was noted.

APA Citation

Gadiwalla, Qasim; Dong, Shane; Recarey, Melina; Nguyen, Bao; and Lala, Salim, "Recurrent arterial and new-onset neurogenic thoracic outlet syndrome as a complication after previously inadequately excised first and cervical ribs" (2022). GW Authored Works. Paper 1716.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/1716

Department

Surgery