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Updated: May 3, 2026

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
Thoracic outlet syndrome in the pediatric population: case series
Anthony T Vu1, Parit A Patel1, Haithem Elhadi1
1Division of Plastic, Reconstructive, and Hand Surgery, University of Cincinnati, Cincinnati, OH; Division of Plastic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; Department of Plastic Surgery, Institute of Reconstructive Surgery, New York University, New York, NY.
Abstract:
We present 4 patients, 4 months to 10 years of age, with thoracic outlet syndrome. All were referred to the brachial plexus clinic. Three patients were diagnosed with vascular thoracic outlet syndrome after clinical evaluation and diagnostic imaging. Three had a cervical rib and 1 had an anomalous first rib. All patients were treated surgically through a supraclavicular approach and had resolution of the symptoms. No postoperative complications were noted.
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