Bilateral arterial thoracic outlet syndrome with intermittent subclavian artery occlusion

Kapildeo Lotun, Peter A. Soukas, Ralph Bueno, Oyidie Igbokidi, Christopher Owens, Robert M. Schainfeld

Research output: Contribution to journalArticle

Abstract

Arterial thoracic outlet syndrome presentation is frequently misdiagnosed because of its varied clinical presentation. We present a case of a young female who presented with right upper extremity Raynaud's phenomenon. She was ultimately referred for a vascular medicine consultation after inability to palpate the radial pulse by the neurologist. She was diagnosed with arterial thoracic outlet syndrome, secondary to a congenital cervical rib, which was contributing to intermittent subclavian artery occlusion. She underwent cervical and first rib resection and returned 6 months later with symptoms in the left upper extremity. Her clinical presentation, diagnosis and therapeutic options are discussed in this article along with a review of the literature.

Original languageEnglish (US)
Pages (from-to)165-170
Number of pages6
JournalInterventional Cardiology
Volume3
Issue number2
DOIs
StatePublished - Apr 1 2011
Externally publishedYes

Keywords

  • arterial thoracic outlet syndrome
  • bilateral thoracic outlet syndrome
  • cervical rib

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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