Unusual etiology of upper extremity ischemia in a scleroderma patient: Thoracic outlet syndrome with arterial embolization Beate Hugl, MD, W. Andrew.

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Presentation transcript:

Unusual etiology of upper extremity ischemia in a scleroderma patient: Thoracic outlet syndrome with arterial embolization Beate Hugl, MD, W. Andrew Oldenburg, MD, Albert G. Hakaim, MD, Scott T. Persellin, MD Journal of Vascular Surgery Volume 45, Issue 6, Pages 1259-1261 (June 2007) DOI: 10.1016/j.jvs.2007.01.040 Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 1 Ischemic hand and left third distal phalanx at first presentation. Journal of Vascular Surgery 2007 45, 1259-1261DOI: (10.1016/j.jvs.2007.01.040) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 2 Arteriogram of left upper extremity. A, The mid left subclavian artery is very tortuous and irregular, with a short focal 50% stenosis at its mid-distal aspect. B, In hyperabduction of the left arm the subclavian artery is compressed by the cervical rib and arterial flow is interrupted. C, Embolic occlusion of the proximal mid-humerus brachial artery with reconstitution. D, Second embolic occlusion of the distal brachial artery with reconstitution to the interosseous artery. Journal of Vascular Surgery 2007 45, 1259-1261DOI: (10.1016/j.jvs.2007.01.040) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions