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Thoracic outlet syndrome (TOS) is a condition in which there is compression of the nerves, arteries, or veins in the superior thoracic aperture, the passageway from the lower neck to the armpit, also known as the thoracic outlet. [1] There are three main types: neurogenic, venous, and arterial. [1]
Thrombolysis is typically performed prior to first rib resection for venous thoracic outlet syndrome. First rib resection is indicated for venous , arterial , and neurogenic TOS. [ 1 ] In all cases, the goal of the operation is to increase the dynamic space between the chest wall and the clavicle , through which the subclavian vein, artery, and ...
Pectoralis minor syndrome (PMS) is a condition related to thoracic outlet syndrome (TOS) that results from the pectoralis minor muscle being too tight. [1] PMS results from the brachial plexus being compressed under the pectoralis minor [2] while TOS involves compression of the bundle above the clavicle. In most patients, the nerves are ...
The superior thoracic aperture is essentially a hole surrounded by a bony ring, through which several vital structures pass. It is bounded by: the first thoracic vertebra (T1) posteriorly; the first pair of ribs laterally, forming lateral C-shaped curves posterior to anterior; and the costal cartilage of the first rib and the superior border of the manubrium anteriorly.
thoracic outlet syndrome Adson's sign is the loss of the radial pulse in the arm by rotating head to the ipsilateral side with extended neck following deep inspiration. It is sometimes used as a sign of thoracic outlet syndrome (TOS). [ 1 ]
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Endoscopic thoracic sympathectomy (ETS) is a surgical procedure in which a portion of the sympathetic nerve trunk in the thoracic region is destroyed. [ 1 ] [ 2 ] ETS is used to treat excessive sweating in certain parts of the body ( focal hyperhidrosis ), facial flushing , Raynaud's disease and reflex sympathetic dystrophy .
Cardiac surgery training in the United States is combined with general thoracic surgery and called cardiothoracic surgery or thoracic surgery. A cardiothoracic surgeon in the U.S. is a physician who first completes a general surgery residency (typically 5–7 years), followed by a cardiothoracic surgery fellowship (typically 2–3 years).