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Arterial thoracic outlet syndrome.

Gerald M Patton1

  • 1Division of Vascular Surgery, Department of Surgery, Bryn Mawr Hospital, 830 Old Lancaster Road, #306, Bryn Mawr, PA 19010, USA. lcarita@surspc.com

Hand Clinics
|March 10, 2004
PubMed
Summary

Thoracic outlet compression, though rare, can cause serious arterial vascular complications. Bony abnormalities like cervical ribs may lead to subclavian artery trauma, delaying diagnosis due to subtle symptoms.

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Area of Science:

  • Vascular Surgery
  • Thoracic Surgery
  • Vascular Medicine

Background:

  • Thoracic outlet compression (TOC) can lead to significant arterial vascular complications.
  • These complications are rare but can be limb-threatening.
  • Bony abnormalities, such as cervical ribs, are a known cause of chronic subclavian artery trauma.

Purpose of the Study:

  • To highlight the potential for substantial and limb-threatening arterial vascular complications from thoracic outlet compression.
  • To emphasize the role of bony abnormalities, like cervical ribs, in causing subclavian artery trauma.
  • To underscore the diagnostic challenges posed by subtle and confusing early clinical symptoms.

Main Methods:

  • Review of cases involving arterial vascular complications secondary to thoracic outlet compression.
  • Analysis of the relationship between bony abnormalities (e.g., cervical ribs) and subclavian artery trauma.
  • Evaluation of clinical presentations and diagnostic timelines.

Main Results:

  • Arterial complications from TOC, while uncommon, carry significant morbidity.
  • Cervical ribs and other bony anomalies can result in chronic subclavian artery injury.
  • Delayed diagnosis is frequent due to subtle and often misleading initial symptoms.

Conclusions:

  • Thoracic outlet compression poses a risk of severe arterial injury.
  • Early recognition of subtle symptoms is crucial for timely diagnosis and management.
  • Understanding the link between bony abnormalities and arterial trauma is key in managing these patients.

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