PMID: 7085740May 1, 1982Paper

Arterial thromboembolism of the upper extremity associated with the thoracic outlet syndrome

The Journal of Cardiovascular Surgery
H Haimovici

Abstract

Acute arterial thromboembolism of the upper extremity associated with the thoracic outlet syndrome is much less frequent than the neurologic manifestations, but is a potential threat to the viability of the limb if not recognized in time. The thromboembolic process originates in a damaged subclavian artery as a result of its prolonged compression, usually by congenital, much more rarely, by acquired anomalies of anatomical structures at the thoracic outlet. Major embolic complications usually occur after months or years of episodal and repetitive microemboli. A comprehensive arteriographic evaluation of the entire arterial tree in addition to other tests is essential for diagnosis. Four patterns of arterial findings are described. The scope of the surgical treatment of these manifestations it twofold: (1) decompression of the subclavian artery and (2) repair of the arterial lesions, often with additional thoracic sympathectomy. Results of management of the arterial lesions are described in three groups, based mostly on a review of data from the literature. In recent years a more aggressive approach to these lesions appears to have resulted in better management of this complex entity. A case report will illustrate some the clini...Continue Reading

Related Concepts

Upper Arm
Structure of Axillary Artery
Structure of Subclavian Artery
Sympathectomy
Neurologic Syndrome, Thoracic Outlet
Chest
Thromboembolism

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