Thoracic outlet syndrome caused by first rib hemangioma

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Presentation transcript:

Thoracic outlet syndrome caused by first rib hemangioma Kee-Min Yeow, MDa, Hung-Chang Hsieh, MDb Journal of Vascular Surgery Volume 33, Issue 5, Pages 1118-1121 (May 2001) DOI: 10.1067/mva.2001.112801 Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 1 Plain chest radiograph reveals enlarged first rib with prominent bone marrow trabeculations (arrows ). Normal first rib is seen on left. Journal of Vascular Surgery 2001 33, 1118-1121DOI: (10.1067/mva.2001.112801) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 2 CT scan shows expansile first rib (arrows ) with contrast enhancement. Diffuse coarsening of bone marrow trabeculation is seen. Journal of Vascular Surgery 2001 33, 1118-1121DOI: (10.1067/mva.2001.112801) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 3 A, Right arm venogram with patient's arm in neutral position shows elevation of subclavian vein (V ) by underlying hump over superior surface of first rib. B, Corresponding venogram with patient's arm abducted reveals complete obstruction of subclavian vein (V ). Journal of Vascular Surgery 2001 33, 1118-1121DOI: (10.1067/mva.2001.112801) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 4 Venogram on seventh day after first rib resection with patient's arm abducted shows extensive external compression of subclavian and axilla veins but no occlusion. Journal of Vascular Surgery 2001 33, 1118-1121DOI: (10.1067/mva.2001.112801) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 5 Histologic specimen reveals proliferation of thick- and thin-walled blood vessels associated with prominent vascular lakes diagnostic of a hemangioma (hematotoxylin and eosin stain, original magnification ×100). Journal of Vascular Surgery 2001 33, 1118-1121DOI: (10.1067/mva.2001.112801) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions