Bypass Surgery in Arterial Thoracic Outlet Syndrome
نویسندگان
چکیده
Arterial thoracic outlet syndrome (TOS) causes ischemic symptoms; it is the rarest type, occurring in 5% of all TOS cases. This paper is a case report of a 38-year-old male patient diagnosed with arterial TOS, displaying symptoms of acute critical limb ischemia caused by thromboembolism. Brachial artery of the patient has been diffusely damaged by repeated occurrence of thromboembolism. It was thought to be not enough only decompression of subclavian artery to relieve the symptoms of hand ischemia; therefore, bypass surgery using reversed great saphenous vein was performed.
منابع مشابه
Comparison of the right internal thoracic artery and radial artery as a second arterial conduit in ‘Y’ composite fashion in patients undergoing coronary artery bypass grafting using total arterial revascularization
Introduction: The use of two arterial conduits for CABG is rapidly increasing. The second arterial conduit to LITA is usually RITA or radial artery. We sought to compare outcomes when either RITA or radial artery is exclusively used as a Y composite graft to LITA for total arterial revascularization. Material and methods: We retrospectively analyzed 231 ...
متن کاملCoronary bypass grafting with bilateral internal thoracic arteries and the right gastroepiploic artery.
Now that coronary artery bypass grafting has entered its fourth decade, cardiac surgeons unanimously agree that arterial grafts yield a more satisfactory long-term clinical outcome than do autologous saphenous vein grafts. With time, venous grafts are vulnerable to accelerated atherosclerosis, which may necessitate high-risk repeat coronary bypass surgery. In contrast, arterial grafts are highl...
متن کاملArterial thoracic outlet syndrome: a 32-year experience.
BACKGROUND Clinical manifestations of thoracic outlet syndrome (TOS) differ depending on the compromised anatomic structure. Arterial TOS is the least common (1-5% of all cases of TOS), yet the most threatening, due to the risk of limb loss. METHODS We conducted a retrospective review of consecutive patients treated for arterial TOS between January 1979 and June 2012. Medical records and diag...
متن کاملCritical Upper Limb Ischemia Due to Brachial Tourniquet in Misdiagnosed Thoracic Outlet Syndrome after Carpal Tunnel Decompression: A Case Report
We present the case of a 68-year-old woman, referred to our department for critical upper limb ischemia, which had occurred a few days after homolateral surgical ligamentotomy for carpal tunnel syndrome, diagnosed and confirmed by electromyography, and performed with a brachial tourniquet. The patient was later admitted for subsequent progressive necrosis of the first three fingers of the left ...
متن کاملMiddle aortic syndrome with renal artery stenosis
A 39-year lady referred to Vascular Surgery OPD from Cardiology with uncontrolled hypertension, non- functional left kidney and absent bilateral femoral pulses. Investigations revealed middle aortic syndrome with non-functional left kidney with bilateral renal artery stenosis. She successfully underwent bypass of stenotic segment with polyester graft from descending thoracic aorta to left commo...
متن کامل