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Ann Thorac Surg 1997;63:939
© 1997 The Society of Thoracic Surgeons


Invited Commentary

Invited Commentary

W. Gerald Rainer, MD

Department of Surgery ,University of Colorado Health Sciences Center, 2005 Franklin St, Suite 380, Denver, CO 80205-5476

See also page 935.

In a field such as thoracic outlet syndrome in which the subject itself is so complex and poorly defined, it is refreshing to see some clarity of focus brought to bear on a subset of cases such as has been done by Urschel and Razzuk. They describe concisely and clearly an anatomic basis for their thesis of the pathogenesis of thoracic outlet syndrome and correlate it nicely with clinical applications and outcome.

Too often in the literature on thoracic outlet syndrome have there been observations and recommendations based upon subjective and poorly formulated visceral conclusions resulting in imprecise evaluations and clinical management (both operative and nonoperative) based upon poorly formulated concepts. Using a time-honored, scientific-based approach, Urschel and Razzuk present data that are refreshing and credible.





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