| A case of arterial thoracic outlet syndrome presenting with upper extremity thrombus and thromboembolic cerebral infarction |
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Ho Jung An, Mi Sook Sung, Jun Ki Min |
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한림대학교 의과대학 춘천성심병원 내과, 산부인과1 |
| 증례: 쇄골하동맥과 원위부 내경동맥의 혈전을 동반한 흉곽출구 증후군 1예 |
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안호정.성미숙.민준기 , Mi Sook Sung, Jun Ki Min |
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| Abstract |
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Thoracic outlet syndrome (TOS) manifests as a spectrum of symptoms that are produced by compression of neurovascular bundles as they pass through the scalene muscles, clavicle, and the first rib. When a vascular structure like subclavian artery is involved, TOS may result in serious complications, such as thromboembolism at distal extremities or, more rarely, the brain. Here, we present a case of 25-year-old male presenting with Raynaud's phenomenon, finger tip necrosis, and left-sided hemiplegia secondary to thromboembolism associated with arterial TOS. Radiologic studies, including simple X-ray, neck computed tomography (CT) angiography, thoracic aortography, and cerebral angiography, revealed anomalous articulation of the right first rib to the second rib, right subclavian artery stenosis with poststenotic dilatation and intramural thrombus, and thromoboembolism of the right distal internal carotid artery (ICA). The patient successfully underwent resection of the anterior scalene muscle and embolectomy. (Korean J Med 75:602-606, 2008) |
| Key Words:
Anomalous first rib; Thoracic outlet syndrome; Thromboembolism |
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