title: Subclavian artery stenosis caused by a prominent first rib.
abstract: Thoracic outlet syndrome is a mechanical space problem in which the brachial plexus and/or subclavian vessels are compressed. Arterial compression is least common and almost always associated with a bony anomaly. We present a case of a 49-year-old woman with a prominent first rib which caused a subclavian artery stenosis. There are many options for subclavian artery repair through open surgery. In high-risk patients, minimal invasive techniques are favorable. To date, few case reports exist on an endovascular artery repair combined with open first rib resection. While long-term follow-up will be necessary, our preliminary results seem promising.
authors.affiliation: Department of Thoracovascular Surgery, ASZ Aalst, Aalst, Belgium.
authors.forename: Isabelle
authors.initials: I
authors.lastname: Claus
authors.affiliation: Department of Thoracovascular Surgery, ASZ Aalst, Aalst, Belgium.
authors.forename: Kobe
authors.initials: K
authors.lastname: Van Bael
authors.affiliation: Department of Thoracovascular Surgery, ASZ Aalst, Aalst, Belgium.
authors.forename: Sabrina
authors.initials: S
authors.lastname: Speybrouck
authors.affiliation: Department of Thoracovascular Surgery, ASZ Aalst, Aalst, Belgium.
authors.forename: Geerhardus
authors.initials: G
authors.lastname: Van Der Tempel
keywords: Cyanotic fingers; subclavian artery stenosis; thoracic outlet syndrome