Staged approach for upper extremity chronic ischemia in high-performing athlete with arterial thoracic outlet syndrome
Arterial thoracic outlet syndrome is a rare condition characterized by subclavian artery compression, leading to occlusion, poststenotic dilation, aneurysm formation, and distal embolization. We present the case of a 21-year-old collegiate volleyball player with arterial thoracic outlet syndrome and...
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Main Authors: | , , , , , |
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Format: | Article |
Language: | English |
Published: |
Elsevier
2025-08-01
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Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428725001212 |
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Summary: | Arterial thoracic outlet syndrome is a rare condition characterized by subclavian artery compression, leading to occlusion, poststenotic dilation, aneurysm formation, and distal embolization. We present the case of a 21-year-old collegiate volleyball player with arterial thoracic outlet syndrome and chronic limb-threatening ischemia owing to bilateral cervical ribs. Initially misdiagnosed as Raynaud's phenomenon, she experienced progressive ischemic symptoms. A staged surgical approach included thoracic outlet decompression followed by axillary-to-radial artery bypass without the need for axillosubclavian arterial reconstruction. She returned to collegiate athletics with successful arterial remodeling and graft patency. |
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ISSN: | 2468-4287 |