A case of concomitant subclavian steal syndrome and thoracic outlet syndrome
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; howeve...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428724001977 |
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| author | Akihiro Kageyama, MD Taku Suzuki, MD, PhD Yasuhiro Kiyota, MD, PhD Noboru Matsumura, MD, PhD Takuji Iwamoto, MD, PhD Masaya Nakamura, MD, PhD |
| author_facet | Akihiro Kageyama, MD Taku Suzuki, MD, PhD Yasuhiro Kiyota, MD, PhD Noboru Matsumura, MD, PhD Takuji Iwamoto, MD, PhD Masaya Nakamura, MD, PhD |
| author_sort | Akihiro Kageyama, MD |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-6441e9da633a46f88df0ddc00df63a33 |
| institution | Kabale University |
| issn | 2468-4287 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-6441e9da633a46f88df0ddc00df63a332024-11-30T07:13:33ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872024-12-01106101613A case of concomitant subclavian steal syndrome and thoracic outlet syndromeAkihiro Kageyama, MD0Taku Suzuki, MD, PhD1Yasuhiro Kiyota, MD, PhD2Noboru Matsumura, MD, PhD3Takuji Iwamoto, MD, PhD4Masaya Nakamura, MD, PhD5Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, JapanCorrespondence: Taku Suzuki, MD, PhD, Department of Orthopaedic Surgery, Keio University School of Medicine, 35 Shinano-machi, Shinjuku, Tokyo 160-8582, Japan; Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, JapanDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, JapanDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, JapanDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, JapanDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, JapanA 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.http://www.sciencedirect.com/science/article/pii/S2468428724001977Endoscopic-assisted infraclavicular approachSubclavian stealSubclavian steal syndromeThoracic outletThoracic outlet syndrome |
| spellingShingle | Akihiro Kageyama, MD Taku Suzuki, MD, PhD Yasuhiro Kiyota, MD, PhD Noboru Matsumura, MD, PhD Takuji Iwamoto, MD, PhD Masaya Nakamura, MD, PhD A case of concomitant subclavian steal syndrome and thoracic outlet syndrome Journal of Vascular Surgery Cases and Innovative Techniques Endoscopic-assisted infraclavicular approach Subclavian steal Subclavian steal syndrome Thoracic outlet Thoracic outlet syndrome |
| title | A case of concomitant subclavian steal syndrome and thoracic outlet syndrome |
| title_full | A case of concomitant subclavian steal syndrome and thoracic outlet syndrome |
| title_fullStr | A case of concomitant subclavian steal syndrome and thoracic outlet syndrome |
| title_full_unstemmed | A case of concomitant subclavian steal syndrome and thoracic outlet syndrome |
| title_short | A case of concomitant subclavian steal syndrome and thoracic outlet syndrome |
| title_sort | case of concomitant subclavian steal syndrome and thoracic outlet syndrome |
| topic | Endoscopic-assisted infraclavicular approach Subclavian steal Subclavian steal syndrome Thoracic outlet Thoracic outlet syndrome |
| url | http://www.sciencedirect.com/science/article/pii/S2468428724001977 |
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