Think About Klippel –Feil as Causing Neurogenic Thoracic Outlet Syndrome!

A 49-year-old woman presented with bilateral symptomatic neurological and arterial thoracic outlet syndrome. Computed tomography angiography revealed bilateral cervical ribs (black arrows), synostosis with the first right rib (B,*), and a post-stenotic dilatation of the right subclavian artery (A, white arrow). The presence of a supernumerary hemi-vertebra at the cervicothoracic hinge and fused C6 – C7 cervical vertebrae (star) supported the diagnosis of Klippel–Feil syndrome. Transaxillary resection of the cervical and first ribs and scalene muscles was first performed on the right.
Source: European Journal of Vascular and Endovascular Surgery - Category: Surgery Authors: Tags: Coup D ’Oeil Source Type: research