A case of concomitant subclavian steal syndrome and thoracic outlet syndrome

Research output: Contribution to journalArticlepeer-review

Abstract

A 59-year-old woman presented with dizziness and numbness of her left upper limb. Computed tomography (CT) angiography revealed an occlusion of the subclavian artery at its origin, leading to a diagnosis of subclavian steal syndrome. She was treated with percutaneous angioplasty and stenting; however, her symptoms did not improve. CT angiography of the arm in the elevated position revealed subclavian artery stenosis at the costoclavicular space, and the diagnosis was neurogenic thoracic outlet syndrome (TOS). First-rib resection was performed, and the symptoms disappeared immediately after surgery. TOS should be considered when symptoms persist despite subclavian steal syndrome treatment. Physical examination and CT imaging with the arm elevated aid in diagnosing TOS.

Original languageEnglish
Article number101613
JournalJournal of Vascular Surgery Cases, Innovations and Techniques
Volume10
Issue number6
DOIs
Publication statusPublished - 2024 Dec

Keywords

  • Endoscopic-assisted infraclavicular approach
  • Subclavian steal
  • Subclavian steal syndrome
  • Thoracic outlet
  • Thoracic outlet syndrome

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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