Supraclavicular approach for thoracic outlet decompression

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Presentation transcript:

Supraclavicular approach for thoracic outlet decompression Linda M. Reilly, MD, Ronald J. Stoney, MD Journal of Vascular Surgery Volume 8, Issue 3, Pages 329-334 (September 1988) DOI: 10.1016/0741-5214(88)90286-8 Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Artist's illustration of early stage of right thoracic outlet decompression. Note the self-retaining retractor. Fat pad is retracted to expose brachial plexus. Journal of Vascular Surgery 1988 8, 329-334DOI: (10.1016/0741-5214(88)90286-8) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Artist's illustration of decompression landmarks, site of retraction of anterior scalene, partial resection of middle scalene muscle and first rib. Transection site (dotted line). Brachial plexus and artery are seen. Medial clavicle and part of subclavian vein are removed for illustrative purposes. R.C.C., Right common carotid artery. Journal of Vascular Surgery 1988 8, 329-334DOI: (10.1016/0741-5214(88)90286-8) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Illustrated detail of sagittal saw division of neck of first rib. Long thoracic nerve course parallel and caudad to transected middle scalene is seen. Journal of Vascular Surgery 1988 8, 329-334DOI: (10.1016/0741-5214(88)90286-8) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Thoracic outlet decompression shows the relaxed, nonstretched portion of the third division of the brachial plexus nearly contacting the second thoracic rib. Medial clavicle is removed for illustrative purposes. Journal of Vascular Surgery 1988 8, 329-334DOI: (10.1016/0741-5214(88)90286-8) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions