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Updated: Apr 25, 2026

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
Understanding thoracic outlet syndrome
Julie Freischlag1, Kristine Orion2
1Division of Vascular Surgery, Department of Surgery, The Johns Hopkins Hospital, 720 Rutland Avenue, Ross 759, Baltimore, MD 21205, USA.
Abstract:
The diagnosis of thoracic outlet syndrome was once debated in the world of vascular surgery. Today, it is more understood and surprisingly less infrequent than once thought. Thoracic outlet syndrome (TOS) is composed of three types: neurogenic, venous, and arterial. Each type is in distinction to the others when considering patient presentation and diagnosis. Remarkable advances have been made in surgical approach, physical therapy, and rehabilitation of these patients. Dedicated centers of excellence with multidisciplinary teams have been developed and continue to lead the way in future research.
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