Management of a patient with arterial thoracic outlet syndrome and Srb anomaly
Thoracic outlet syndrome (TOS) is a group of disorders characterized by the compression of neurovascular structures at the thoracic outlet. Arterial TOS, the least common but most severe form, carries significant thromboembolic risks and has a known association with cervical ribs. Synostosis of a co...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-06-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428725000139 |
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| author | Nicolas A. Stafforini, MD Matthew C. Smith, MD, PhD |
| author_facet | Nicolas A. Stafforini, MD Matthew C. Smith, MD, PhD |
| author_sort | Nicolas A. Stafforini, MD |
| collection | DOAJ |
| description | Thoracic outlet syndrome (TOS) is a group of disorders characterized by the compression of neurovascular structures at the thoracic outlet. Arterial TOS, the least common but most severe form, carries significant thromboembolic risks and has a known association with cervical ribs. Synostosis of a complete first and second rib, termed the Srb anomaly, is rare and occurs in approximately 0.2% of the population. Here, we present a unique case of a 17-year-old boy with right upper extremity claudication owing to arterial TOS from an Srb anomaly. This case emphasizes the successful management of an uncommon condition, the importance of accurate diagnosis and timely intervention. |
| format | Article |
| id | doaj-art-573ab10f9d2b434bbd83dbf6dc108890 |
| institution | OA Journals |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-573ab10f9d2b434bbd83dbf6dc1088902025-08-20T02:16:07ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-06-0111310173110.1016/j.jvscit.2025.101731Management of a patient with arterial thoracic outlet syndrome and Srb anomalyNicolas A. Stafforini, MD0Matthew C. Smith, MD, PhD1Division of Vascular Surgery, Department of Surgery, University of Washington, Seattle, WACorrespondence: Matthew C. Smith, MD, PhD, Assistant Professor of Surgery, Division of Vascular Surgery, Department of Surgery, University of Washington, 1959 NE Pacific St Main Hospital, Seattle, WA 98195; Division of Vascular Surgery, Department of Surgery, University of Washington, Seattle, WAThoracic outlet syndrome (TOS) is a group of disorders characterized by the compression of neurovascular structures at the thoracic outlet. Arterial TOS, the least common but most severe form, carries significant thromboembolic risks and has a known association with cervical ribs. Synostosis of a complete first and second rib, termed the Srb anomaly, is rare and occurs in approximately 0.2% of the population. Here, we present a unique case of a 17-year-old boy with right upper extremity claudication owing to arterial TOS from an Srb anomaly. This case emphasizes the successful management of an uncommon condition, the importance of accurate diagnosis and timely intervention.http://www.sciencedirect.com/science/article/pii/S2468428725000139Thoracic outletRib resectionAnomalous rib |
| spellingShingle | Nicolas A. Stafforini, MD Matthew C. Smith, MD, PhD Management of a patient with arterial thoracic outlet syndrome and Srb anomaly Journal of Vascular Surgery Cases and Innovative Techniques Thoracic outlet Rib resection Anomalous rib |
| title | Management of a patient with arterial thoracic outlet syndrome and Srb anomaly |
| title_full | Management of a patient with arterial thoracic outlet syndrome and Srb anomaly |
| title_fullStr | Management of a patient with arterial thoracic outlet syndrome and Srb anomaly |
| title_full_unstemmed | Management of a patient with arterial thoracic outlet syndrome and Srb anomaly |
| title_short | Management of a patient with arterial thoracic outlet syndrome and Srb anomaly |
| title_sort | management of a patient with arterial thoracic outlet syndrome and srb anomaly |
| topic | Thoracic outlet Rib resection Anomalous rib |
| url | http://www.sciencedirect.com/science/article/pii/S2468428725000139 |
| work_keys_str_mv | AT nicolasastafforinimd managementofapatientwitharterialthoracicoutletsyndromeandsrbanomaly AT matthewcsmithmdphd managementofapatientwitharterialthoracicoutletsyndromeandsrbanomaly |