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Updated: Jul 20, 2025
Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
[Surgical treatment of aberrant subclavian artery]
A D Aslanov1, R M Kalibatov1, O E Logvina1
1Berbekov Kabardino-Balkarian State University, Nalchik, Russia.
Objective:
To determine the indications and optimal surgical treatment of aberrant subclavian artery.
Material And Methods:
There were 3 patients with aberrant subclavian artery with clinical manifestations such as dysphagia, shortness of breath, weight loss, cough and chest pain between 2005 and 2020. Right-and left-sided aberrant artery was observed in 2 and 1 case, respectively. Supraclavicular unilateral or bilateral access depended on the side of aberrant artery. Carotid-subclavian anastomosis was performed.
Results:
All patients were discharged without any symptoms.
Conclusion:
Close location of aberrant subclavian artery to common carotid artery can disturb circulation in brain and upper limb. Abnormal discharge of subclavian artery can cause compression of nearby organs (esophagus, trachea). Abnormal vascular discharge does not always have clinical manifestations that do not require surgical correction. Only symptomatic patients are subjects to surgical correction of aberrant subclavian artery. Knowledge of variant anatomy of supra-aortic vessels can minimize the risk of complications.
