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  • Title: Thoracic outlet syndrome with right subclavian artery dilatation in a child - transaxillary resection of the pediatric cervical rib.
    Author: Sen S, Dişçigil B, Boga M, Ozkisacik E, Inci I.
    Journal: Thorac Cardiovasc Surg; 2007 Aug; 55(5):339-41. PubMed ID: 17629873.
    Abstract:
    Cervical rib is a well-documented congenital anomaly, and thoracic outlet syndrome (TOS) with vascular compression is extremely rare in childhood. The subclavian artery, subclavian vein, brachial plexus, or a combination of these can be affected in this syndrome. We present a case of TOS in an eight-year-old boy and describe the rare finding of subclavian artery compression with post-stenotic dilatation and severe brachial plexus compression symptoms. The patient underwent right transaxillary resection of the first thoracic and cervical rib. The presentation is unique and may be elusive.
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