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Thoracic Outlet Syndrome

Storm ESS - MedPix (2005)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Thoracic Outlet Syndrome

History: Patient had several matted left supraclavicular nodes resected approximately 10 years ago. She now presents with progressive heaviness and pallor of the left arm, which is exaccerbated by abduction and external rotation at the shoulder. No other significant medical history. No current medications.

Findings: There is dynamic compression of the left subclavian artery between the left first rib and clavicle, with some post-stenotic dilitation present. Blood flow velocity to the distal left upper extremity is diminished with arm abduction. Notible lack of venous flow, even on delayed sequences.

Ddx: Thoracic Outlet Syndrome Reflex Symphathetic Dystrophy

Dxhow: Conventional Angiography, with dynamic arm maneuvering.

Exam: Diminished left radial pulse with full shoulder abduction. Normal heme/coag profile.

No MeSH data available.


Angiogram of arm with arm again in full abduction/external rotation.  Note dimunitive arterial caliber and lack of venous enhancement.  No filling defects seen.  Patient was completely symptomatic at this point in the exam.
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MPX1392_synpic18452: Angiogram of arm with arm again in full abduction/external rotation. Note dimunitive arterial caliber and lack of venous enhancement. No filling defects seen. Patient was completely symptomatic at this point in the exam.


Thoracic Outlet Syndrome

Storm ESS - MedPix (2005)

Angiogram of arm with arm again in full abduction/external rotation.  Note dimunitive arterial caliber and lack of venous enhancement.  No filling defects seen.  Patient was completely symptomatic at this point in the exam.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1392&req=5

MPX1392_synpic18452: Angiogram of arm with arm again in full abduction/external rotation. Note dimunitive arterial caliber and lack of venous enhancement. No filling defects seen. Patient was completely symptomatic at this point in the exam.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Thoracic Outlet Syndrome

History: Patient had several matted left supraclavicular nodes resected approximately 10 years ago. She now presents with progressive heaviness and pallor of the left arm, which is exaccerbated by abduction and external rotation at the shoulder. No other significant medical history. No current medications.

Findings: There is dynamic compression of the left subclavian artery between the left first rib and clavicle, with some post-stenotic dilitation present. Blood flow velocity to the distal left upper extremity is diminished with arm abduction. Notible lack of venous flow, even on delayed sequences.

Ddx: Thoracic Outlet Syndrome Reflex Symphathetic Dystrophy

Dxhow: Conventional Angiography, with dynamic arm maneuvering.

Exam: Diminished left radial pulse with full shoulder abduction. Normal heme/coag profile.

No MeSH data available.