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Thoracic Outlet Syndrome

  • Tarik Z. Ali
  • Josh RadtkaEmail author
Chapter

Abstract

Thoracic outlet syndrome (TOS) is a constellation of upper extremity symptoms resulting from compression of the brachial plexus, subclavian artery, and subclavian vein as they pass between the clavicle and the first rib. The majority of patients are between 20 and 50 years of age and about 70% are females. There are three types of TOS: neurogenic, arterial, and venous. Despite the variability in presenting symptoms, the therapy is often decompression of the thoracic outlet. This is achieved with a first rib resection which can be performed through a supraclavicular, infraclavicular, or trans-axillary approach. A vascular intervention may also be required to treat symptomatology from chronic compression.

Keywords

First rib resection Upper extremity deep venous thrombosis Arm swelling Arm pain Upper extremity ischemia 

References

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    Sanders. Thoracic outlet syndrome: general considerations. In: Cronenwett J, editor. Rutherford’s vascular surgery. Philadelphia: Elsevier; 2010. p. 1865–77.CrossRefGoogle Scholar
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    Thompson, Driskill. Thoracic outlet syndrome: neurogenic. In: Cronenwett J, editor. Rutherford’s vascular surgery. Philadelphia: Elsevier; 2010. p. 1878–98.CrossRefGoogle Scholar
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    Schanzer, Messina. Thoracic outlet syndrome: general considerations. In: Cronenwett J, editor. Rutherford’s vascular surgery. Philadelphia: Elsevier; 2010. p. 1907–17.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Division of Vascular SurgeryPenn State Milton S. Hershey Medical CenterHersheyUSA

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