Cervical rib is a congenital phenomenon that usually occurs in association with upper-limb neurovascular symptoms. The presence of a cervical rib displaces the great vessels that cross the thoracic outlet superiorly and proceed into the neck. We report an unusual case of iatrogenic hemorrhage during a tracheostomy in a patient whose right subclavian artery had been displaced by a cervical rib. Our aim is to alert surgeons to the hidden risks of this phenomenon.
References
1.
DavidovicLB, LotinaSI, VojnovicBR, [Treatment of the thoracic outlet vascular syndrome]. Srp Arh Celok Lek1998;126:23–30.
2.
AburahmaAF, WhiteJFIII.Thoracic outlet syndrome with arm ischemia as a complication of cervical rib. W V Med J1995;91:92–4.
3.
KosenakLM, KnorrEJ, DeRojasJJ, KatlicMR. Cervical rib variant: Report of a case. Ann Vasc Surg1992;6:292–3.