Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/S1677-54492008000200009
Jornal Vascular Brasileiro
Case Report

Complicações arteriais da síndrome do desfiladeiro torácico

Arterial complications of thoracic outlet syndrome

Fernando Thomazinho; Wander Eduardo Sardinha; Jose Manoel da Silva Silvestre; Domingos de Morais Filho; Fernando Motta

Downloads: 1
Views: 1242

Resumo

As manifestações clínicas da síndrome do desfiladeiro torácico são predominantemente neurológicas, sendo as complicações arteriais raras, mas potencialmente graves. Entre elas, devemos citar os aneurismas com complicações embólicas e a trombose. Os autores relatam o caso de uma mulher de 37 anos com costela cervical bilateral que apresentou embolia no membro superior direito originada de um aneurisma pós-estenótico da artéria subclávia direita, além de apresentar ectasia da subclávia esquerda também por compressão.

Palavras-chave

Síndrome do desfiladeiro torácico, costela cervical, complicações arteriais

Abstract

The clinical manifestations of thoracic outlet syndrome are mainly neurological. Although arterial complications are rare, they are potentially severe. Among these are aneurysms associated with embolism and thrombosis. The authors report a case of a 37 year-old woman with bilateral cervical rib that developed embolism in the right upper limb from a poststenotic right subclavian artery aneurysm and dilatation of the left subclavian artery, both due to compression.

Keywords

Thoracic outlet syndrome, cervical rib, arterial complications

References

Peet RM, Hendriksen JD, Anderson TP, Martin GM. Thoracic-outlet syndrome: evaluation of therapeutic exercise program. Proc Staff Meet Mayo Clin. 1956;31:281-7.

Sanders RJ, Roos DB. The surgical anatomic of the scalene triangle. Contemp Surg. 1989;35:11-6.

Baptista-Silva JCC, Prates JC, Francisco Jr. J, Miranda Jr. F, Burihan E. Ligamentos do aparelho suspensor da pleura: morfologia e relação com o plexo braquial e os vasos subclávios. Rev Col Bras Cir. 1992;19:51-7.

Short DW. The subclavian artery in 16 patients with complete cervical ribs. J Cardiovasc Surg (Torino). 1975;16:135-41.

Sanders RJ, Hammond SL. Management of cervical ribs and anomalous first ribs causing neurogenic thoracic outlet syndrome. J Vasc Surg. 2002;36:51-6.

Gruber W. Ueber die Halsrippen des Menshen mit verglerchendanatomischen Bermerkungen. St Petersburg: Memoires de l'academie Imperial Scientia. 1869;2:7-27.

Sanders RJ, Pearce WH. The treatment of thoracic outlet syndrome: a comparison of different operations. J Vasc Surg. 1989;10:626-34.

Nijhuis HH, Müller-Wiefel H. Occlusion of the brachial artery by thrombus dislodged from a traumatic aneurysm of the anterior humeral circumflex artery. J Vasc Surgery. 1991;13:408-11.

Durham JR, Yao JS, Pearce WH, Nuber GM, McCarthy WJ 3rd. Arterial injuries in the thoracic outlet syndrome. J Vasc Surg. 1995;21:57-69.

Cormier JM, Amrane M, Ward A, Laurian C, Gigou F. Arterial complications of the thoracic outlet syndrome: fifty-five operative cases. J Vasc Surg. 1989;9:778-87.

Bouhoutsos J, Morris T, Martin P. Unilateral Raynaud's phenomenon in the hand and its significance. Surgery. 1977;82:547-51.

Cruz M, Matos AA, Saldanha T, Branco JC. Angiografia como método diagnóstico da síndrome do desfiladeiro torácico neurovascular: a propósito de um caso. Rev Bras Reumatol. 2003;4:267-71.

Mackinnon SE, Novak CB. Evaluation of the patient with thoracic outlet syndrome. Semin Thorac Cardiovasc Surg. 1996;8:190-200.

Urschel JD, Hameed SM, Grewal RP. Neurogenic thoracic outlet syndromes. Postgrad Med J. 1994;70:785-9.

Machleder HI, Moll F, Nuwer M, Jordan S. Somatosensory evoked potentials in the assessment of thoracic outlet syndrome. J Vasc Surg. 1987;6:177-84.

Borg K, Persson HE, Lindblom U. Thoracic outlet syndome: diagnostic value of sensibility testing, vibratory thresholds and somatosensory evoked potentials at rest and during perturbation with abduction and external rotation of the arm. Proceedings. :144-50.

Komanetsky RM, Novak CB, Mackinnon SE, Russo MH, Padberg AM, Louis S. Somatosensory evoked potentials fail to diagnose thoracic outlet syndrome. J Hand Surg [Am]. 1996;21:662-6.

Reilly LM, Stoney RJ. Supraclavicular approach for thoracic outlet decompression. J Vasc Surg. 1988;8:329-34.

Sanders RJ, Cooper MA, Hammond SL, Weinstein ES. Neurogenic thoracic outlet syndrome. Vascular surgery. 1999:1184-200.

Roos DB. Transaxillary first rib resection for thoracic outlet syndrome. Techniques in vascular and endovascular surgery. 1997:531-8.

Makhoul RG, Machleder HI. Developmental anomalies at the thoracic outlet: An analysis of 200 consecutive cases. J Vasc Surg. 1992;16:534-42.

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
5ddd6cb40e88254b591da3ea jvb Articles

J Vasc Bras

Share this page
Page Sections