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The Annals of Thoracic Surgery, Vol 19, 613-621, Copyright © 1975 by The Society of Thoracic Surgeons
BA Glass
In a relatively small personal series (41 patients) of first rib resections
for thoracic outlet compression, I have encountered 8 patients in whom
venous obstruction at the thoracic outlet was the major component. Four of
the 8 had typical "stress" thrombosis of the axillary vein. Angiography
demonstrated a tight thoracic outlet to be the underlying cause of the
venous thrombosis. In the 4 patients with venous compression but without
thrombosis, angiograms suggested that each was a candidate for axillary
venous thrombosis unless the underlying thoracic outlet compression
syndrome was relieved. Although thoracic outlet compression has been
documented as a cause of "stress thrombosis" of the axillary vein, the
relationship of the two conditions apparently is often overlooked, even by
experienced thoracic surgeons. Representative case histories and angiograms
are presented to demonstrate the close relationship of thoracic outlet
compression and axillary venous thrombosis.
ARTICLES
The relationship of axillary venous thrombosis to the thoracic outlet compression syndrome
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