McCleery syndrome: etiology and outcome

Vascular and Endovascular Surgery
Kendall LikesJulie Ann Freischlag

Abstract

Patients presenting with swelling of the upper extremity without thrombosis have McCleery syndrome or intermittent compression of the subclavian vein. The purpose of this study was to determine outcomes in these patients who underwent first rib resection and scalenectomy (FRRS). Using a prospectively maintained database from 2003 to 2011, patients were retrospectively reviewed for presentation, diagnosis, treatment, and clinical outcomes. Of the patients presenting with venous thoracic outlet syndrome, 19 (11%; 13 F/6 M; mean age 26 [10-44]) presented with intermittent arm swelling, of which 3 were identified as having chronic thrombus. A total of 20 FRRS operations were performed. First rib resection and scalenectomy is effective in relieving symptoms in patients with McCleery syndrome. These patients do not generally need a postoperative venogram unless they experience continuing symptoms. In patients with chronic thrombus, routine postoperative venography at 2 weeks is indicated. Patients can present with intermittent compression if an acute episode of deep vein thrombosis is not aggressively treated.

References

May 1, 1971·Annals of Surgery·J W Lord
Oct 1, 1968·Circulation·N W SwintonR J Hall
Dec 1, 1963·Annals of Surgery·D O BEDSOLE, L C HAMRICK
Mar 16, 2005·Journal of Vascular Surgery·Richard J Sanders, Sharon L Hammond
Apr 21, 2009·Surgery·Ricardo A de LeónJulie A Freischlag

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Citations

Jun 4, 2016·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Constantine A RaptisSanjeev Bhalla
Mar 6, 2021·International Journal of Surgery Case Reports·H OhidaTh Bürger
Jun 12, 2021·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Julie A Freischlag
Aug 6, 2021·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Karl A Illig, Leah Gober

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