초록접수 현황
| 17F-120 | 포스터 발표 |
Venous Thoracic Outlet Syndrome (vTOS) : A Case Report
Young Ho Yang, Duk Hwan Moon, Sungsoo Lee
Department of Thoracic Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea
Purpose : Thoracic outlet syndrome (TOS) is a collection of symptoms brought about by abnormal compression of the neurovascular bundle by bony, ligamentous or muscular structures in the narrow space between clavicle and 1st rib at the thoracic outlet. Cases are classified by primary etiology. Complication of venous thoracic outlet syndrome (vTOS) is thrombosis of the axillary or subclavian vein known as Paget-Schroetter disease, necessitating thrombolysis and decompression. We report a successful surgical treatment of young male patient who was diagnosed with vTOS.
Methods : : A 21-year-old man presented with debilitating right arm pain on exercise. He had developed right arm swelling and venous engorgement, along with numbness and tingling of the right fourth and fifth digits. Motor and sensory NCVs and EMGs were normal. In image study, nerve was intact and subclavian vein (SCV) has a stenotic lesion.
Results : To address the stenosis lesion, we performed a thoracic outlet decompression. Under general anesthesia, a supra- and infra-clavicular incision was made for exposure. The anterior and middle scalene muscle was removed, 1st rib resections, right SCV angioplasty, and intraluminal web excision was done. After 1month from operation, venogram showed no evidence of stenotic lesion in right SCV. Right arm pain, swelling and venous engorgement was disappeared.
Conclusion : TOS is a field of interest for thoracic surgeon. Surgical decompression technique of TOS seems to be beneficial, also especially in vTOS. Early recognition and treatment is essential to a successful outcome.
Methods : : A 21-year-old man presented with debilitating right arm pain on exercise. He had developed right arm swelling and venous engorgement, along with numbness and tingling of the right fourth and fifth digits. Motor and sensory NCVs and EMGs were normal. In image study, nerve was intact and subclavian vein (SCV) has a stenotic lesion.
Results : To address the stenosis lesion, we performed a thoracic outlet decompression. Under general anesthesia, a supra- and infra-clavicular incision was made for exposure. The anterior and middle scalene muscle was removed, 1st rib resections, right SCV angioplasty, and intraluminal web excision was done. After 1month from operation, venogram showed no evidence of stenotic lesion in right SCV. Right arm pain, swelling and venous engorgement was disappeared.
Conclusion : TOS is a field of interest for thoracic surgeon. Surgical decompression technique of TOS seems to be beneficial, also especially in vTOS. Early recognition and treatment is essential to a successful outcome.
책임저자: Sungsoo Lee
Department of Thoracic Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea
발표자: Young Ho Yang, E-mail : YANG321@yuhs.ac