Case of Arterial Thoracic Outlet Syndrome
24 year old man presented with acute onset right second fingertip gangrene.
Diagnosis & Treatment
On evaluation he was found to have arterial thoracic outlet syndrome with right complete cervical rib. He was initially managed with anticoagulation and later taken up for Thoracic Outlet Decompression. Intraoperatively the patient was found to have scalene muscle hypertrophy and a complete cervical rib fused to a broad first rib causing subclavian artery compression. Patient had a successful outcome following the decompression procedure.
Excised cervical & first rib
About Author –
Dr. Prakash Goura, Consultant vascular surgeon, Yashoda Hospitals - Hyderabad
MBBS, DNB (General Surgery), MRCS (England), M.Ch (Vascular Surgery)