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Updated: Jun 23, 2026

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome

Published on: September 13, 2020

Thoracic outlet lymphangioma.

M Blair Marshall¹, Thais Oliveira

¹Division of Thoracic Surgery, Department of Surgery, Georgetown University Medical Center, Washington, DC 20007, USA. mbm5@gunet.georgetown.edu

Interactive Cardiovascular and Thoracic Surgery

|May 19, 2009

Summary

This summary is machine-generated.

A rare case of thoracic outlet syndrome (TOS) in a young athlete was caused by a lymphangioma. Surgical resection of the lymphangioma successfully treated the condition.

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Area of Science:

Vascular Surgery
Thoracic Surgery
Sports Medicine

Background:

Thoracic Outlet Syndrome (TOS) can significantly impact athletes, affecting performance and quality of life.
Lymphangiomas, benign tumors of the lymphatic system, are uncommon causes of TOS.

Observation:

A young collegiate athlete presented with symptoms consistent with TOS.
Diagnostic imaging revealed a lymphangioma as the underlying cause of neurovascular compression.

Findings:

The lymphangioma was successfully and completely resected using a minimally invasive surgical technique.
The approach involved combined cervical and axillary incisions, preserving surrounding osteo-muscular structures.

Implications:

This case highlights lymphangioma as a potential, albeit rare, etiology for TOS in athletic populations.
The described surgical approach offers a viable option for complete tumor resection while minimizing morbidity.