Related Experiment Video
Updated: Sep 19, 2025
06:57
Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
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Subclavian Vein Thrombosis in a Patient With Venous Thoracic Outlet Syndrome and Previous Preventive First Rib
Maria R Kuzmanova1, Lucas L Rau1, Ulrike Hügel1
1Angiology, University Hospital Zurich, Zurich, CHE.
Cureus
|June 18, 2025
Summary
Deep vein thrombosis (DVT) after rib resection is rare. A successful endovascular thrombectomy treated subclavian vein thrombosis in a patient with prior bilateral first rib resection.
Area of Science:
- Vascular Surgery
- Interventional Radiology
Background:
- Venous thoracic outlet syndrome (vTOS) and deep vein thrombosis (DVT) are rare complications following rib resection.
- Repetitive upper extremity activity can cause effort thrombosis (Paget-Schroetter syndrome) in young, active individuals due to chronic subclavian vein injury and fibrosis.
Observation:
- A 33-year-old female patient with a history of bilateral first rib resection presented with non-acute right subclavian vein thrombosis.
- The patient had undergone previous rib resections for primary and secondary thrombosis prevention.
Findings:
- A successful mini-invasive endovascular thrombectomy was performed to treat the right subclavian vein thrombosis.
- The procedure aimed to restore venous patency and prevent further complications.
Implications:
- This case highlights a rare complication of rib resection and presents a successful endovascular treatment approach.
- Discussion includes optimal anticoagulation duration, reintervention necessity, and stent placement indications post-rib resection for vTOS and DVT management.
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