Transaxillary Approach for First Rib Resection in Combined Neurogenic and Vascular Thoracic Outlet Syndrome with Elongated C7 Transverse Process and Status Post Breast Implantation: A Case Report

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Published: Sep 25, 2020
DOI: https://doi.org/10.31524/bkkmedj.2020.22.006
Keywords:
thoracic outlet syndrome, TOS, first rib resection, transaxillary first rib resection

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Padungkiat Tangpiroontham MD

Abstract

Combined neurogenic and arterial Thoracic Outlet Syndrome (nTOS and aTOS) is a rare disease. First rib resection with scalenectomy is a mainstay of treatment. TOS results from pathology in the interscalene triangle. Many etiologies were described as its contributing factors, however, to the author’s knowledge, axillary breast implantation had not yet been described. In patients who have mild anatomical pathology, scar formation from axillary surgery may aggravate TOS symptoms. The author wishes to present a case of mild elongated C7 transverse process that then underwent breast implantation, subsequently developed combined nTOS and aTOS, successfully managed through transaxillay first rib resection and scalenectomy.

Article Details

How to Cite
1.
Tangpiroontham MD P. Transaxillary Approach for First Rib Resection in Combined Neurogenic and Vascular Thoracic Outlet Syndrome with Elongated C7 Transverse Process and Status Post Breast Implantation: A Case Report. BKK Med J [Internet]. 2020 Sep. 25 [cited 2024 Dec. 27];16(2):223. Available from: https://he02.tci-thaijo.org/index.php/bkkmedj/article/view/242459
Issue
Vol. 16 No. 2 (2020): September
Section
Case Report

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