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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

Lung herniation after supraclavicular thoracic outlet decompression.

Feng Su¹, Jennifer Bell Zoole, Robert W Thompson

¹Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri 63110, USA.

The Annals of Thoracic Surgery

|May 1, 2012

Summary

Cervical lung herniation is a rare complication following first rib resection for thoracic outlet syndrome. This case report details successful thoracoscopic treatment for this unique condition, relieving chronic pain.

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Area of Science:

Thoracic surgery
Pulmonology
Neurosurgery

Background:

Thoracic outlet syndrome (TOS) is a condition caused by compression of the neurovascular bundle in the thoracic outlet.
First rib resection is a common surgical treatment for TOS.
Lung herniation is a previously unreported complication following this procedure.

Observation:

A patient presented with chronic pain and brachial plexus displacement after supraclavicular first rib resection for TOS.
Cervical lung herniation was identified as the cause of the patient's symptoms.
This represents a unique clinical presentation.

Findings:

The patient underwent successful thoracoscopic reduction and resection of the herniated lung.
Pleural flap closure of the defect effectively resolved the herniation.
This surgical approach provided symptomatic relief.

Implications:

This case highlights a novel complication of first rib resection for TOS.
Thoracoscopic management offers a viable treatment option for cervical lung herniation.
Awareness of this complication is crucial for surgeons treating TOS.