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Updated: May 5, 2026
06:57
Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
4.5K
Thromboembolic stroke associated with thoracic outlet syndrome
Ella M Meumann1, Jason Chuen2, Greg Fitt3
1Department of Neurology, Austin Hospital, Heidelberg, Melbourne, VIC, Australia.
Summary
Thoracic outlet syndrome can cause stroke due to subclavian artery compression, often from a cervical rib. This review examines stroke mechanisms, patient cases, and management strategies for this rare but serious condition.
Area of Science:
- Neurology
- Vascular Surgery
- Radiology
Background:
- Thoracic outlet syndrome (TOS) involves neurovascular compression near the thorax.
- Subclavian artery compression, frequently caused by cervical ribs, is a rare TOS complication.
- Cerebral embolisation leading to stroke is an uncommon but serious consequence of TOS.
Observation:
- This study presents a patient case illustrating stroke associated with TOS.
- The mechanism of cerebral embolisation in TOS, potentially involving thrombus propagation or altered blood flow, requires further understanding.
- Arm abduction may exacerbate retrograde flow in the subclavian artery, increasing stroke risk.
Findings:
- Review of clinical features, diagnostic imaging, and treatment options for stroke in TOS patients.
- Analysis of the pathophysiology linking subclavian artery compression to embolic stroke.
- Identification of key diagnostic markers and therapeutic approaches for managing TOS-related stroke.
Implications:
- Highlights the importance of considering TOS in stroke patients with relevant risk factors.
- Suggests potential diagnostic and therapeutic targets for preventing and treating TOS-associated stroke.
- Underscores the need for further research into the mechanisms of cerebral embolisation in thoracic outlet syndrome.
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