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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| Format: | Article |
| Language: | English |
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Elsevier
2025-08-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428725001212 |
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| author | Caroline E. Minnick, BS Lindsay Lynch, MD Kevin Chang, MD Ashlee Stutsrim, MD Julie Freischlag, MD Matthew Goldman, MD |
| author_facet | Caroline E. Minnick, BS Lindsay Lynch, MD Kevin Chang, MD Ashlee Stutsrim, MD Julie Freischlag, MD Matthew Goldman, MD |
| author_sort | Caroline E. Minnick, BS |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-b1eadbb9c68e4bde9e5a6c177e8d84a5 |
| institution | Matheson Library |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-b1eadbb9c68e4bde9e5a6c177e8d84a52025-07-27T04:56:10ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-08-01114101839Staged approach for upper extremity chronic ischemia in high-performing athlete with arterial thoracic outlet syndromeCaroline E. Minnick, BS0Lindsay Lynch, MD1Kevin Chang, MD2Ashlee Stutsrim, MD3Julie Freischlag, MD4Matthew Goldman, MD5Correspondence: Caroline E. Minnick, BS, Department of Vascular Surgery, Wake Forest University School of Medicine, 475 Vine St, Winston-Salem, NC 27101; Department of Vascular and Endovascular Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, NCDepartment of Vascular and Endovascular Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, NCDepartment of Vascular and Endovascular Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, NCDepartment of Vascular and Endovascular Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, NCDepartment of Vascular and Endovascular Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, NCDepartment of Vascular and Endovascular Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, NCArterial 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.http://www.sciencedirect.com/science/article/pii/S2468428725001212Arterial thoracic outlet syndromeRaynaud's phenomenonCervical ribUpper extremityChronic ischemiaAthlete |
| spellingShingle | Caroline E. Minnick, BS Lindsay Lynch, MD Kevin Chang, MD Ashlee Stutsrim, MD Julie Freischlag, MD Matthew Goldman, MD Staged approach for upper extremity chronic ischemia in high-performing athlete with arterial thoracic outlet syndrome Journal of Vascular Surgery Cases and Innovative Techniques Arterial thoracic outlet syndrome Raynaud's phenomenon Cervical rib Upper extremity Chronic ischemia Athlete |
| title | Staged approach for upper extremity chronic ischemia in high-performing athlete with arterial thoracic outlet syndrome |
| title_full | Staged approach for upper extremity chronic ischemia in high-performing athlete with arterial thoracic outlet syndrome |
| title_fullStr | Staged approach for upper extremity chronic ischemia in high-performing athlete with arterial thoracic outlet syndrome |
| title_full_unstemmed | Staged approach for upper extremity chronic ischemia in high-performing athlete with arterial thoracic outlet syndrome |
| title_short | Staged approach for upper extremity chronic ischemia in high-performing athlete with arterial thoracic outlet syndrome |
| title_sort | staged approach for upper extremity chronic ischemia in high performing athlete with arterial thoracic outlet syndrome |
| topic | Arterial thoracic outlet syndrome Raynaud's phenomenon Cervical rib Upper extremity Chronic ischemia Athlete |
| url | http://www.sciencedirect.com/science/article/pii/S2468428725001212 |
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