Biomaterial Database

First rib resection for vascular complications of thoracic outlet syndrome. 1990

J F Thompson, and J H Webster

Vascular Unit, Royal South Hampshire Hospital, Southampton, UK.

The surgical approach to vascular complications of the thoracic outlet syndrome remains controversial. When present, removal of a cervical rib alone has produced disappointing results. Our experience of 29 consecutive first rib excisions over a 5-year period is presented. Of 20 cases with uncomplicated subclavian artery compression 19 were cured, and of six cases with aneurysm or thrombosis five were improved. Of 12 cases with neurological symptoms nine were cured and two were improved. It is suggested that first rib excision is the essential primary treatment for patients with arterial symptoms due to thoracic outlet syndrome.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D003251	Constriction, Pathologic	The condition of an anatomical structure's being constricted beyond normal dimensions.	Stenosis,Stricture,Constriction, Pathological,Pathologic Constriction,Constrictions, Pathologic,Pathologic Constrictions,Pathological Constriction,Stenoses,Strictures
D005260	Female		Females
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328	Adult	A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available.	Adults
D000783	Aneurysm	Pathological outpouching or sac-like dilatation in the wall of any blood vessel (ARTERIES or VEINS) or the heart (HEART ANEURYSM). It indicates a thin and weakened area in the wall which may later rupture. Aneurysms are classified by location, etiology, or other characteristics.	Saccular Aneurysm,Fusiform Aneurysm,Aneurysm, Fusiform,Aneurysms,Aneurysms, Fusiform,Fusiform Aneurysms
D012272	Ribs	A set of twelve curved bones which connect to the vertebral column posteriorly, and terminate anteriorly as costal cartilage. Together, they form a protective cage around the internal thoracic organs.	Rib
D013348	Subclavian Artery	Artery arising from the brachiocephalic trunk on the right side and from the arch of the aorta on the left side. It distributes to the neck, thoracic wall, spinal cord, brain, meninges, and upper limb.	Arteries, Subclavian,Artery, Subclavian,Subclavian Arteries
D013901	Thoracic Outlet Syndrome	A neurovascular syndrome associated with compression of the BRACHIAL PLEXUS; SUBCLAVIAN ARTERY; and SUBCLAVIAN VEIN at the superior thoracic outlet. This may result from a variety of anomalies such as a CERVICAL RIB, anomalous fascial bands, and abnormalities of the origin or insertion of the anterior or medial scalene muscles. Clinical features may include pain in the shoulder and neck region which radiates into the arm, PARESIS or PARALYSIS of brachial plexus innervated muscles, PARESTHESIA, loss of sensation, reduction of arterial pulses in the affected extremity, ISCHEMIA, and EDEMA. (Adams et al., Principles of Neurology, 6th ed, pp214-5).	Costoclavicular Syndrome,Neurovascular Syndrome, Thoracic Outlet,Scalenus Anticus Syndrome,Thoracic Outlet Nerve Compression Syndrome,Aperture Syndrome, Thoracic Outlet,Arterial Thoracic Outlet Syndrome,Nerve Compression Syndrome, Thoracic Outlet,Neurogenic Thoracic Outlet Syndrome,Neurologic Syndrome, Thoracic Outlet,Superior Thoracic Aperture Syndrome,Thoracic Outlet Neurologic Syndrome,Thoracic Outlet Neurovascular Syndrome,Thoracic Outlet Syndrome, Neurogenic,Venous Thoracic Outlet Syndrome,Costoclavicular Syndromes,Outlet Syndrome, Thoracic,Outlet Syndromes, Thoracic,Syndrome, Costoclavicular,Syndrome, Scalenus Anticus,Syndrome, Thoracic Outlet,Syndromes, Costoclavicular,Syndromes, Thoracic Outlet,Thoracic Outlet Syndromes