Critical Upper Limb Ischemia Caused by Initially Undiagnosed Thoracic Outlet Syndrome - Case Report

• Authors: Łukasz Dzieciuchowicz , Wojciech Włodarczyk , Grzegorz Oszkinis
• Languages of publication: EN

Abstracts

EN

A case of a progressive ischemia of the right upper extremity in a 57-year-old male caused by primarily undiagnosed compression of a subclavian artery by an accessory cervical rib is presented. Critical limb ischemia persisting for 7 years despite conservative treatment and a thrombectomy of upper extremity arteries and thoracic sympathectomy, led to a loss of three fingers and development of a non-healing ulceration of right upper extremity. Eventually a cervical rib resection together with a subclavio-brachial venous bypass graft permanently reversed the critical limb ischemia and allowed the ulceration to heal.The presented case underscores the importance of an early surgical intervention in patients with upper limb ischemia and anatomic abnormalities in a thoracic outlet.

Keywords

EN

limb ischemia; thoracic outlet syndrome

• Journal: Polish Journal of Surgery
• Year: 2012
• Volume: 84
• Issue: 3
• Pages: 158-162

Dates

published

1 - 2 - 2012

online

28 - 5 - 2012

Contributors

author

Łukasz Dzieciuchowicz

• Department of General and Vascular Surgery, Medical University in Poznań

author

Wojciech Włodarczyk

• Department of General Surgery with Services of Oncological and Vascular Surgery, Specialist Hospital in Piła

author

Grzegorz Oszkinis

• Department of General and Vascular Surgery, Medical University in Poznań

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Identifiers

DOI

10.2478/v10035-012-0025-0