Korean J Thorac Cardiovasc Surg.  2015 Apr;48(2):146-150. 10.5090/kjtcs.2015.48.2.146.

Bypass Surgery in Arterial Thoracic Outlet Syndrome

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Pusan National University School of Medicine, Korea. tsdoctor@hanmail.net

Abstract

Arterial thoracic outlet syndrome (TOS) causes ischemic symptoms; it is the rarest type, occurring in 5% of all TOS cases. This paper is a case report of a 38-year-old male patient diagnosed with arterial TOS, displaying symptoms of acute critical limb ischemia caused by thromboembolism. Brachial artery of the patient has been diffusely damaged by repeated occurrence of thromboembolism. It was thought to be not enough only decompression of subclavian artery to relieve the symptoms of hand ischemia; therefore, bypass surgery using reversed great saphenous vein was performed.

Keyword

Thoracic outlet syndrome; Vascular grafting; Thromboembolism

MeSH Terms

Adult
Brachial Artery
Decompression
Extremities
Hand
Humans
Ischemia
Male
Saphenous Vein
Subclavian Artery
Thoracic Outlet Syndrome*
Thromboembolism
Vascular Grafting
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