Vascular Thoracic Outlet Syndrome with Arterial Occlusion: A case report.

, Bun, Hye Ryoung; , Kim, Dong Hwee; , Hwang, Mi Ryoung; , Kim, In Jong; , Lee, Jun Sung

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2007;31(2):257-260.

Bun, Hye Ryoung , Kim, Dong Hwee , Hwang, Mi Ryoung , Kim, In Jong , Lee, Jun Sung

Department of Rehabilitation Medicine, College of Medicine, Korea University, Korea. rmkdh@chol.com

상지동맥 폐색을 동반한 혈관성 흉곽출구증후군 ⁣증례 보고⁣

번혜령, 김동휘, 황미령, 김인종, 이준성

고려대학교 의과대학 재활의학교실

Abstract

The diagnosis of thoracic outlet syndrome (TOS) is sometimes confused by its nonspecific symptoms and various etiologies. Moreover, the paths of involving nerves and arteries are highly diverse. We report a 35 year-old man who had numbness and coldness in his left upper extremity with no improvement to medical therapy. The electrophysiologic studies were normal. Radial artery pulse was absent and the thermography revealed markedly reduced temperature below the left mid-forearm. The arteriography showed compression of the left subclavian artery between the clavicle and the 1st rib with aneurysmal change proximal to the compression. Occlusion of the left brachial artery and collateral arteries were also observed. Under the diagnosis of vascular TOS, 1st rib resection was performed and his symptoms were relieved. Vascular TOS may be considered in cases of upper limb paresthesia. (J Korean Acad Rehab Med 2007; 31: 257-260)

Key Words: Vascular thoracic outlet syndrome, Subclavian artery, Embolism