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4 . 2025

Accessory cervical rib as a cause of arterial thoracic outlet syndrome (clinical case)

Abstract

The article presents a clinical observation of successful treatment of a patient with post-thrombotic occlusion of the subclavian artery and critical ischemia of the left upper limb. According to computed tomography angiography, extravasal compression of segment 2 of the subclavian artery by an additional cervical rib was detected. Decompression of the subclavian artery with resection of the additional cervical rib, thrombectomy, and angiography were urgently performed via the left supraclavicular approach. Blood flow to the limb was restored, and no additional endovascular procedures were required. Regression of the clinical picture of critical ischemia was noted in the postoperative period.

Keywords: thoracic outlet syndrome; accessory cervical rib; extravasal compression; subclavian artery; critical upper limb ischemia

Funding. The study had no financial support.

Conflict of interest. The authors declare no conflicts of interest.

Authors’ contribution. Study conception and design – Kornilov D.Yu.; data collection and handling – Kornilov D. Yu., Satinov A.V., Simtsov A.Yu., Maksimov A.V.; draft manuscript preparation – Kornilov D.Yu., Maksimov A.V.; manuscript revision – Maksimov A.V.

For citation: Kornilov D.Yu., Satinov A.V., Simtsov A.Yu., Maksimov A.V. Accessory cervical rib as a cause of arterial thoracic outlet syndrome (clinical case). Angiology and Vascular Surgery. Journal named after Academician A.V. Pokrovsky. 2025; 31 (4): 132–6. DOI: https://doi.org/10.33029/1027-6661-2025-31-4-132-136

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CHIEF EDITOR
CHIEF EDITOR
Yuri V. Belov
Academician of the Russian Academy of Sciences Doctor of Medical Sciences, Professor, President of the Russian Society of Angiologists and Vascular Surgeons

 

In accordance with the decision of the Presidium of the Russian Society of Angiologists and Vascular Surgeons, the journal "Angiology and Vascular Surgery" will be named after Academician A.V. Pokrovsky starting from No. 2/2022.

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