Thoracic Outlet Syndrome - WVU School of Medicine

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Re-operation for FailedInitial Operation on TOS• 80% <strong>of</strong> patients after re-operation =improvement in symptoms• 7% required a second re-operation
Summary• TOS mimics many other processes• Compression is the causative agent• 1st rib is <strong>of</strong>ten the culprit• History ⇒ PE ⇒ UNVC• XR ⇒ CT ⇒ Angio/Venogram• Physical therapy ⇒ Surgery• Note: DVT and Arterial Occlusions are treatedwith Anticoagulation/Thrombectomy
Page 1 and 2: Thoracic Outlet SyndromeVascular Ca
Page 3 and 4: Anatomy of Thoracic OutletQuickTime
Page 5 and 6: Pathophysiology• Brachial plexus
Page 8 and 9: Costoclavicular Triangle• Borders
Page 10 and 11: • Anatomic FactorsEtiology- Inter
Page 12 and 13: Traumatic Factors• Fractured clav
Page 14 and 15: Neurologic Presentation• More com
Page 16 and 17: Venous Presentation• Venous obstr
Page 18 and 19: Clinical Diagnosis• Positive find
Page 21 and 22: AngiogramShows compression of subcl
Page 23 and 24: VenogramComplete occlusion of Left
Page 25 and 26: Surgical Treatment for TOS• Reser
Page 27 and 28: Surgical Pictures1st thoracic rib r
Page 29: Types of Recurrence• Pseudorecurr

Thoracic Outlet Syndrome - WVU School of Medicine

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