TY - JOUR
T1 - A case of concomitant subclavian steal syndrome and thoracic outlet syndrome
AU - Kageyama, Akihiro
AU - Suzuki, Taku
AU - Kiyota, Yasuhiro
AU - Matsumura, Noboru
AU - Iwamoto, Takuji
AU - Nakamura, Masaya
N1 - Publisher Copyright:
© 2024 The Authors
PY - 2024/12
Y1 - 2024/12
N2 - 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.
AB - 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.
KW - Endoscopic-assisted infraclavicular approach
KW - Subclavian steal
KW - Subclavian steal syndrome
KW - Thoracic outlet
KW - Thoracic outlet syndrome
UR - http://www.scopus.com/inward/record.url?scp=85203971866&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85203971866&partnerID=8YFLogxK
U2 - 10.1016/j.jvscit.2024.101613
DO - 10.1016/j.jvscit.2024.101613
M3 - Article
AN - SCOPUS:85203971866
SN - 2352-667X
VL - 10
JO - Journal of Vascular Surgery Cases, Innovations and Techniques
JF - Journal of Vascular Surgery Cases, Innovations and Techniques
IS - 6
M1 - 101613
ER -