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Case Reports
. 2022 Oct 13;18(1):108-112.
doi: 10.14797/mdcvj.1103. eCollection 2022.

Treatment of Thoracic Outlet Syndrome Complications Assisted with a Cerebral Embolism Protection Device

Marina Ansuategui-Vicente  1 , Yolanda Tapia-Lopez  1 , Cristina Cases-Perez  1 , Gabriela Ibarra-Sanchez  1 , Ania Garcia Gutierrez  1 , Jose-Antonio Gonzalez-Fajardo  1
Affiliations
Case Reports

Treatment of Thoracic Outlet Syndrome Complications Assisted with a Cerebral Embolism Protection Device

Marina Ansuategui-Vicente et al. Methodist Debakey Cardiovasc J. .

Abstract

We report a case of a stroke and upper limb ischemia in a 27-year-old female secondary to a right cervical rib and retrograde thromboembolization. Follow-up showed complete patency of the vessels after thrombectomy and internal carotid artery stenting followed by transbrachial embolectomy performed with a cerebral protection device. The cervical rib was surgically removed to prevent additional events.

Keywords: cervical rib; retrograde thromboembolization; stroke; thoracic outlet syndrome.

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Conflict of interest statement

The authors have no competing interests to declare.

Figures

Thrombus in the right subclavian artery
Figure 1
Thrombus in the right subclavian artery, affecting the vertebral and the internal mammary artery.
(1) Right internal carotid stent, (2) balloon acting as embolic protection device, (3) remanent thrombus
Figure 2
Full view of the approach shows (1) right internal carotid stent, (2) balloon acting as embolic protection device, and (3) remanent thrombus into the proximal vertebral artery.
(1) Cervical rib, (2) Sacular aneurysm in the distal subclavian artery
Figure 3
(1) Cervical rib; (2) Sacular aneurysm in the distal subclavian artery.
See this image and copyright information in PMC

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