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Updated: May 3, 2026

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
The rare case of cervical rib fusion to the second rib
Kathryn Hines1, Emma Graf1, Dianna Liu1
1Johns Hopkins Hospital, Division of Vascular and Endovascular Surgery, Baltimore, Maryland.
Abstract:
This article reports on 3 patients who presented with arterial thoracic outlet syndrome and were found to have a rare clinical entity. All 3 patients presented with a rare cervical rib, which was also found to be fused to the second rib, with no first rib at all. All underwent transaxillary cervical and second rib resections and anterior scalenectomy. After transaxillary thoracic outlet decompression, all completed physical therapy with complete resolution of symptoms.
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