Lemus-Ramírez RI, Ramos-Hernández A, Díaz-Plauchud CA, Correa-Rovelo JM

Language: English
References: 18
Page: 38-42
PDF size: 120.02 Kb.

ABSTRACT

Introduction. Thoracic outlet syndrome (TOS) is an uncommon condition caused by the compression of the neurovascular structures passing through the thoracic inlet. It can be categorized into three distinct types, neurogenic, venous and arterial; each type having a different clinical spectrum. The diagnosis is made by a meticulous examination and confirmation by non-invasive imaging methods. The gold standard for diagnosis is the first rib resection (FRRS). Objective. To review clinical presentation, diagnosis, management and complications of the surgical treatment for TOS within five years of experience in a private hospital in Mexico City. Material and methods. This is an observational retrospective study of all consecutive patients who underwent surgical treatment for TOS over a period of five years, between June 15, 2010, and January 16, 2016. Results. Twenty-eight patients who underwent trans axillary resection of the first thoracic rib for treatment of thoracic outlet syndrome were included. Of the 28 patients, 39.2% had a neural component, 35.7% an arterial component, only 25.1% patients had a venous component. 82.2% of the patients were female. The average age at diagnosis was 44 years old. The symptoms most often presented were paresthesia (82.14%), pain (75%), weakness or paresis (46%), edema (35%) and discoloration of the affected limb (32%). Conclusions. TOS is a disease with a wide clinical spectrum of symptoms depending on the affected component. Delay in diagnosis leads to significant loss of health care resources and persistence of symptoms. Our center shows a similar demography to that reported in other studies, but with lower associated morbidity and mortality.

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