Tratamento cirúrgico da forma arterial da síndrome do desfiladeiro torácico associado à costela cervical
Surgical treatment of cervical rib-associated arterial thoracic outlet syndrome
Elpidio Ribeiro da Silva Filho; Marcelo Bellini Dalio; Marco Bianco Santarosa; Tércio Ferreira Oliveira; Maurício Serra Ribeiro; Edwaldo Edner Joviliano
Resumo
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Abstract
The arterial form of thoracic outlet syndrome is rare and is associated with anatomic anomalies, generally a cervical rib. It has a varied range of manifestations. The aim of this article is to describe two cases with different clinical presentations: microembolization and aneurysm. A cervical rib was present in both cases. Diagnosis was made on the basis of history, physical examination, postural maneuvers, and X-rays. Computed tomography angiography provided the anatomic detail necessary to plan surgery. Surgical treatment was performed via supraclavicular access, successfully, in both cases.
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Referências
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Submetido em:
15/06/2020
Aceito em:
19/08/2020
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