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[Vascular complications associated with cervical rib syndrome]
A Radek1, M Harat, J Karbownik
1Z Kliniki Neurochirurgii Instytutu Chirurgii WAM w Lodzi.
Neurologia I Neurochirurgia Polska
|March 1, 1987
Summary
Cervical rib syndrome can cause serious vascular issues like brachial artery thrombosis and subclavian artery compression. Surgical intervention is crucial for patients with vascular compression to prevent complications.
Area of Science:
- Vascular Surgery
- Thoracic Outlet Syndrome
- Neurology
Background:
- Cervical ribs are anomalous bony structures in the neck that can lead to thoracic outlet syndrome.
- Vascular complications associated with cervical ribs are uncommon but can be severe.
Observation:
- Two cases of vascular complications secondary to cervical rib syndrome are presented.
- One patient experienced distal brachial artery thrombosis.
- Both patients exhibited clinical and arteriographic evidence of subclavian artery compression.
Findings:
- Compression of the subclavian artery was a consistent finding in both cases.
- Thrombosis in the brachial artery highlights the potential for arterial thromboembolic events.
- Surgical treatment is indicated for symptomatic vascular compression.
Implications:
- Early surgical intervention for cervical rib syndrome with vascular compression is necessary to prevent thrombotic events.
- Addressing all contributing factors to compression is essential for optimal surgical outcomes.
- These findings underscore the importance of considering cervical rib syndrome in the differential diagnosis of upper extremity vascular pathologies.