Proximal involvement of the innervation of the arm is a well recognised cause of hand symptoms; a proximal vascular abnormality is rarely responsible. This case report describes such a rare cause, namely, a post-stenotic aneurysm of the subclavian artery due to an abnormal first rib but in the absence of a cervical rib or scalene bands.
Get full access to this article
View all access options for this article.
References
1.
ADSON, AW (1947). Surgical Treatment For Symptoms Produced By Cervical Ribs And The Scalenus Anticus Muscle. Surgery, Gynecology and Obstetrics, 85, 687-700.
2.
BAILEY, , and LOVE’S (1981). Short Practice of Surgery. In AJH Rains and HD Ritchie (Eds.), (p. 601). London: H. K. Lewis and Co. Ltd.
3.
BANIS, JC, Jr, Col N RICH, and TJ WHELAN, Jr (1977). Ischemia of the Upper Extremity due to Noncardiac Emboli. The American Journal of Surgery, 134, 131-139.
4.
BARWEGEN, MGMH, RJAM VAN DONGEN, and ED SCHWILDEN (1980). Arterielle Komplikationen beim Neurovaskulären Kompressionssyndrom der Oberen Thoraxapertur, Angio, 2, 103-108.
5.
BARWEGEN, MGMH, DA RAUWERDA, JG KROMHOUT, J ODOOM, and RJAM VAN DONGEN (1983). Subclavian artery aneurysm without cervical ribs. The Netherlands Journal of Surgery, 35, 114.
6.
CHAMPION, HR, and W GILL (1973). Arterial Embolus To The Upper. The British Journal of Surgery, 60, 505-508.
7.
VAN DONGEN, RJAM, and MGMH BARWEGEN (1980). Rekonstruktive Chirurgie der Arteria Subclavia: Transaxillärer Zugang, Angio, 2, 93-99.
8.
FAIRBAIRN, JF, II, E ALLEN, N VAN, NW BARKER, and EA HINES, JrJF Fairbairn, II, JL Juergens and JR Spitell, Jr (Eds.) (1980). Peripheral Vascular Diseases (p. 649). W. B. Saunders Co: Philadelphia, London and Toronto.
9.
HALSTED, WS (1916). An Experimental Study Of Circumscribed Dilation Of An Artery Immediately Distal To A Partially Occluding Band, And Its Bearing On The Dilation Of The Subclavian Artery Observed In Certain Cases Of Cervical Rib. The Journal of Experimental Medicine, 24, 271-286.
10.
JUDY, KL, and RL HEYMANN (1972). Vascular Complications Thoracic Outlet Syndrome. The American Journal of Surgery, 123, 521-531.
11.
KELLY, TR (1979). Thoracic Outlet Syndrome Current Concepts of Treatment. Annals of Surgery, 190, 657-662.
12.
RAAF, J (1955). Surgery For Cervical Rib And Scalenus Anticus Syndrome. The Journal of the American Medical Association, 157, 219-223.
13.
ROB, CG, and A STANDEVEN (1958). Arterial Occlusion Complicating Thoracic Outlet Compression Syndrome. British Medical Journal, 2, 709-712.
14.
ROOS, DB (1966). Transaxillary Approach for First Rib Resection to Relieve Thoracic Outlet Syndrome. Annals of Surgery, 163, 354-358.
15.
ROOS, DB (1976). Congenital Anomalies Associated with Thoracic Outlet Syndrome, Anatomy, Symptoms, Diagnosis and Treatment. The American Journal of Surgery, 132, 771-778.
16.
SZILAGYI, DE, JP ELLIOTT, JH HAGEMAN, RF SMITH, and CA DALL’OLMO (1973). Biologic Fate of Autogenous Vein Implants as Arterial Substitutes: Clinical, Angiographic and and Histopathologic Observations in Femoro-Popliteal Operations for Atherosclerosis. Annals of Surgery, 232-246.
17.
WRIGHT, Col IS (1945). The Neurovascular Syndrome Produced By Hyperabduction Of The Arms. The Immediate Changes Produced in 150 Normal Controls, and the Effects on Some Persons of Prolonged Hyperabduction of the Arms, as in Sleeping, and in Certain Occupations. American Heart Journal, 29, 1-19.
