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Updated: Nov 14, 2025

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
Chylothorax post transaxillary first rib resection for thoracic outlet syndrome
Sylvie Bowden1, Mohammed Firdouse2, Graham Roche-Nagle3
1Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Abstract:
We present a patient who developed high output chyle leak post left transaxillary first rib resection for venous thoracic outlet syndrome. The high output chylorrhoea was successfully treated by conservative measures, bed rest, parenteral nutrition and low-fat diet. The patient was discharged after an 18-day hospital stay with a complete resolution of his chylous fistula prior to discharge. This is the first documented chylothorax post transaxillary first rib resection likely due to anomalous chyle anatomy.
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