Arterijski zapleti sindroma utesnitve izhoda iz
prsnega koša
V osnovi obstajajo tri vrste sindroma utesnitve izhoda iz prsnega koša: nevrogeni, arterijski in venski. Nevrogeni se pojavlja v 95 % in ga je težko diagnosticirati ter zdraviti. Arterijski zapleti so redki in jih pogosto spregledamo. Največkrat so posledica prirojenih anomalij okostja, na primer obstoj vratnega rebra. Prikazan je primer bolnice, ki je utrpela trombozo brahialne arterije zaradi utesnitve subklavijske arterije. Utesnitev je bila posledica pritiska vratnega rebra. Napravljena je bila resekcija sprednje mišice m. scalenus in avtovenski subklavijo-brahialni obvod. |
Arterial complications of thoracic outlet
syndrome
There are basically three types of thoracic outlet syndrome (TOS): arterial, venous and neurogenic. Neurogenic TOS comprise more than 95 per cent of all cases and is the most difficult to diagnose and treat. Arterial complications due to compression of the thoracic outlet are uncommon and are often overlooked. In majority of cases they are due to a congenital bony abnormality such as a cervical rib. A case is presented where patient suffered thrombosis of brachial artery due to compression ob subclavian artery by the cervical rib. Patient was treated with simple resection of scalenus anterior muscle and subclavio-brachial saphenous bypass. |
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