A 49-year-old woman presented with bilateral symptomatic neurological and arterial
thoracic outlet syndrome. Computed tomography angiography revealed bilateral cervical
ribs (black arrows), synostosis with the first right rib (B,*), and a post-stenotic
dilatation of the right subclavian artery (A, white arrow). The presence of a supernumerary
hemi-vertebra at the cervicothoracic hinge and fused C6 – C7 cervical vertebrae (star)
supported the diagnosis of Klippel–Feil syndrome. Transaxillary resection of the cervical
and first ribs and scalene muscles was first performed on the right. The post-operative
course was uneventful. Due to less discomfort, the left side is being monitored at
the patient's request.
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Article info
Publication history
Accepted:
December 19,
2022
Received in revised form:
November 28,
2022
Received:
September 9,
2022
Publication stage
In Press Accepted ManuscriptIdentification
Copyright
© 2022 European Society for Vascular Surgery. Published by Elsevier B.V. All rights reserved.
