Related Experiment Video
Updated: Mar 14, 2026
06:57
Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
4.4K
Arterial thoracic outlet syndrome: rare and triggering
Umar Sadat1, Melissa Loja, Ammara Usman
1Cambridge Vascular Unit, Addenbrooke's Hospital, Cambridge, UK - sadat.umar@gmail.com.
Minerva Cardioangiologica
|September 27, 2016
Summary
Arterial thoracic outlet syndrome (TOS) is rare. Management relies on symptoms, exams, and imaging, guided by the Scher classification, with surgical choices based on surgeon expertise and arterial reconstruction needs.
Area of Science:
- Vascular Surgery
- Diagnostic Imaging
- Anatomy
Background:
- Arterial thoracic outlet syndrome (TOS) represents the rarest form of TOS.
- Diagnosis typically integrates clinical presentation, physical examination, and duplex ultrasonography findings.
Purpose of the Study:
- To outline proposed treatment strategies for arterial TOS.
- To emphasize the role of the Scher classification in guiding management decisions.
Main Methods:
- Review and application of the Scher classification for arterial TOS.
- Integration of clinical assessment and duplex ultrasonography data.
- Consideration of surgeon's experience and need for arterial reconstruction.
Main Results:
- Clinical evaluation and duplex ultrasonography are generally sufficient for diagnosis and management planning.
- Treatment strategies are proposed based on the established Scher classification.
- The selection of surgical procedure and approach is contingent upon surgeon's expertise and the necessity for arterial reconstruction.
Conclusions:
- Arterial TOS management can be effectively guided by clinical findings, imaging, and the Scher classification.
- Surgical approach selection requires careful consideration of surgeon's experience and the specific requirements for arterial repair.
Related Concept Videos
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
480
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
480
01:15Thoracic Aorta
2.1K
The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
2.1K
01:30Aneurysm I: Introduction
581
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
581
01:10The Arch of Aorta
2.2K
The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Encircling the heart, the coronary arteries form a ring-like structure before...
2.2K
01:12Arteries of the Upper Limbs
2.9K
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
2.9K
01:22Aortic Regurgitation II: Clinical Features and Diagnostic Tests
776
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
776