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Updated: May 8, 2026
06:57
Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
Arterial thoracic outlet syndrome: a 32-year experience
Leopoldo Marine1, Francisco Valdes, Renato Mertens
1Departamento de Cirugía Vascular y Endovascular, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Annals of Vascular Surgery
|August 27, 2013
Summary
Arterial thoracic outlet syndrome (TOS) is rare but serious, risking limb loss. Early diagnosis and surgical intervention lead to successful outcomes, preventing severe complications.
Area of Science:
- Vascular Surgery
- Thoracic Outlet Syndrome Research
- Arterial Disease Management
Background:
- Thoracic outlet syndrome (TOS) presents with varied clinical manifestations based on the affected anatomical structure.
- Arterial TOS, though uncommon (1-5% of TOS cases), poses the greatest threat due to the potential for limb loss.
Purpose of the Study:
- To review outcomes of surgical treatment for arterial TOS.
- To evaluate the effectiveness of early diagnosis and intervention in managing arterial TOS.
Main Methods:
- Retrospective review of 18 patients treated for arterial TOS between 1979 and 2012.
- Analysis of medical records, diagnostic images, and patient follow-up data.
Main Results:
- Nineteen procedures were performed for symptomatic arterial TOS, with indications including critical ischemia and claudication.
- Surgical interventions involved outlet decompression, arterial reconstruction, and management of embolic complications, resulting in no deaths or amputations.
- Mean follow-up of over 155 months showed one reintervention for bypass occlusion, with other complications managed conservatively.
Conclusions:
- Arterial TOS is an infrequent yet significant condition requiring prompt diagnosis.
- Timely surgical intervention for arterial TOS yields favorable results, preserving limb function and preventing major adverse events.
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