Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Cervical rib as a cause of thoracic outlet syndrome and subclavian arteryaneurysm complicated by distal thromboembolism

Authors: V.S. Arakelyan 1, R.G. Bukatsello 1, 2, M.V. Shumilina 1, D.I. Kolesnik 1

Company:
1 Bakoulev National Scientific and Practical Center for Cardiovascular Surgery, Ministry of Health of the Russian Federation, Rublevskoe shosse, 135, Moscow, 121552, Russian Federation;
2 Institute of Vocational Education, Sechenov First Moscow State Medical University, ul. Trubetskaya, 8, stroenie 2, Moscow, 119991, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

DOI: https://doi.org/10.24022/1814-6910-2017-14-3-163-169

UDC: 616.743.9:616.833.4:616.134-007.64:616-005.7

Link: Clinical Physiology of Blood Circulaiton. 2017; 14 (3): 163-169

Quote as: Arakelyan V.S., Bukatsello R.G., Shumilina M.V., Kolesnik D.I. Cervical rib as a cause of thoracic outlet syndrome and subclavian artery aneurysm complicated by distal thromboembolism. Klinicheskaya Fiziologiya Krovoobrashcheniya (Clinical Physiology of Circulation, Russian journal). 2017; 14 (3): 163–9 (in Russ.). DOI: 10.24022/1814-6910-2017-14-3-163-169

Received / Accepted:  31.07.2017/13.08.2017

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Abstract

An cervical rib is a congenital bone anomaly, which is one of the causes (up to 4.5% of cases) of the thoracic outlet syndrome (TOS). The musculoskeletal anomaly and its pathological effects on the neurovascular bundle often become a source of severe thromboembolic complications. In addition, the congenital nature of the pathology and long-term low-symptom course promotes the formation of complex pathophysiological mechanisms that are difficult to treat, including surgical, even if the pathogenetically substantiated and radical operation is performed. Nevertheless, the detection of such a bone anomaly, especially in combination with a complicated course, is an absolute indication for surgical treatment, since only surgical intervention avoids the development of irreversible and dramatic thromboembolic vascular complications. And as practice shows, the earlier the operation is performed, the better the treatment prognosis, especially with the arterial TOS.

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About Authors

  • Arakelyan Valeriy Sergeevich, Dr. Med. Sc., Professor, Head of Department of Surgery of Arterial Pathology; orcid.org/0000-0002-0284-6793
  •  Bukatsello Roman Gennad’evich, Cand. Med. Sc., Senior Researcher; orcid.org/0000-0002-9751-4993
  • Shumilina Margarita Vladimirovna, Dr. Med. Sc., Chief of Group of Ultrasound Cardiovascular and Organ Pathology; orcid.org/0000-0001-9871-8173
  • Kolesnik Dmitriy Ivanovich, Researcher; orcid.org/0000-0001-9531-3410

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