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Case Reports
. 2023 Apr 18;1(3):494-497.
doi: 10.1016/j.atssr.2023.04.004. eCollection 2023 Sep.

Robot-Assisted Approach to First Rib Anterior Hypoplasia: An Anatomic Challenge

Ugo Torrente  1 , Matthieu Sarsam  1 , Essotina Ayouba Alassane  1 , Benjamin Bottet  1 , Paul Michelin  2 , Jean-Marc Baste  1
Affiliations
Case Reports

Robot-Assisted Approach to First Rib Anterior Hypoplasia: An Anatomic Challenge

Ugo Torrente et al. Ann Thorac Surg Short Rep. .

Abstract

A 17-year-old man with no past medical history was referred to our department for heaviness, numbness, redness, and swelling of the left arm. Imaging studies showed that while the left arm was elevated, a compression of the subclavian elements occurred. The final diagnosis was a vascular thoracic outlet syndrome caused by hypoplasia of the anterior part of the first left rib. Herein, we describe our experience of a robot-assisted partial resection of the first rib.

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Figures

Figure 1
Figure 1
(A) Chest radiograph showing the asymmetric first ribs (arrow). (B, D) Computed tomography angiography with the elevated left arm reveals compression of the subclavian artery (SCA) in the thoracic outlet. (C) High-definition magnetic resonance image of the left arm in elevation reveals no compression of the brachial plexus.
Figure 2
Figure 2
(A, B) Patient positioning, (C) with robotic docking. (D) Assistant trocar placement.
Figure 3
Figure 3
(A) Normal left-sided anatomy. (B) Left-sided endoscopic view during the procedure. (A&V, artery and vein; SCA, subclavian artery; SCV, subclavian vein.)
Supplementary Figure 1
Supplementary Figure 1
Supplementary Figure 2
Supplementary Figure 2
See this image and copyright information in PMC

References

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