Article

Anomalous vasculature as direct cause of upper brachial plexus thoracic outlet syndrome.

Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157, USA.
Joint, bone, spine: revue du rhumatisme (impact factor: 2.25). 11/2008; 76(1):92-4. DOI:10.1016/j.jbspin.2008.03.005 pp.92-4
Source: PubMed

ABSTRACT Direct vascular etiologies of upper plexus thoracic outlet syndrome (TOS) other than the subclavian vessels are exceptional. This is a unique case of an anomalous artery and its accompanying vein causing direct compression to the upper brachial plexus causing TOS. All symptoms resolved after successful treatment consisting of ligation and resection of the vessels. This case demonstrates that although direct vascular etiologies causing upper plexus TOS are extremely uncommon, they should be considered in the differential diagnosis.

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Keywords

anomalous artery
 
differential diagnosis
 
direct compression
 
Direct vascular etiologies
 
subclavian vessels
 
successful treatment
 
TOS
 
upper brachial plexus
 
upper plexus thoracic outlet syndrome
 
upper plexus TOS
 
vessels
 

George D Chloros