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Revista Cubana de Angiología y Cirugía Vascular

On-line version ISSN 1682-0037

Abstract

MORO RODRIGUEZ, Rubén Tomas; VALDES CANTERO, José Luis; OLIVERA, Daylin Ricardo  and  MONTES DE OCA DOMINGUEZ, Teresa María. Thoracic outlet syndrome and surgical treatment. Rev Cubana Angiol Cir Vasc [online]. 2023, vol.24, n.2  Epub May 06, 2024. ISSN 1682-0037.

Introduction:

Thoracic outlet compression syndromes, sometimes poorly defined, are characterized by cervicobrachialgia as the main symptom. They are due to compression of the lower trunk of the brachial plexus or the subclavian vessels, structures that cross the thoracic outlet. No diagnostic technique has been established and its treatment includes physiotherapy, medications such as analgesics and, in some cases, surgery.

Objective:

To present the results obtained with the surgical treatment of patients who were diagnosed, according to their etiology, with different thoracic outlet syndromes.

Methods:

A study was carried out on 131 patients diagnosed as thoracic outlet syndromes, treated with symptoms related to these in a period of 12 years, and who underwent surgery. The causal diagnosis was based on the symptoms, radiological, ultrasonographic and electromyographic studies and assessment of risk factors.

Results:

The most frequent age was the third decade of life and the female sex was more affected. As a causal agent, the supernumerary cervical ribs and the costiform processes were present in a higher percentage, constituting the anterior and median scalenotomy the most performed surgical procedure.

Conclusions:

The neurological symptoms evidenced nerve compression in most cases, and the results evaluated as good in the most frequent, demonstrating that the surgical treatment of this pathology is an essential part of them.

Keywords : thoracic outlet; scalenotomy; neurovascular symptoms.

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