Think About Klippel–Feil as Causing Neurogenic Thoracic Outlet Syndrome!

Published:December 24, 2022DOI:
      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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