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VATS Approach to First Rib Resection for Thoracic Outlet Syndrome
Aleksandr Krichmar1, Andrea Lubitz2, Ravi V. Dhanisetty2, Maruti Kumaran2, Charles T. Bakhos2, Abbas Abbas2, Roman Petrov2.
1Jacobs School of Medicine and Biomedical Sciences at University at Buffalo, Buffalo, NY, USA, 2Temple University Health System, Philadelphia, NY, USA.

OBJECTIVE: Thoracic outlet syndrome is comprised of a group of disorders that can arise due to compression of the neurovascular structures that traverse the thoracic outlet. Surgical decompression of the thoracic outlet has typically been performed using supraclavicular or transaxillary approaches. However, we present a case of surgical decompression of arterial thoracic outlet syndrome via VATS.
METHODS: A 64-year-old female presenting with arterial thoracic outlet syndrome underwent first rib resection via VATS followed by endovascular stenting.
RESULTS: The patient underwent first rib resection via VATS followed by endovascular stenting of the subclavian artery with resolution of thoracic outlet syndrome symptomatology.
CONCLUSIONS: The VATS approach for first rib resection provides great visualization and allows for a minimally invasive approach to thoracic outlet syndrome that can become the procedure of choice for these patients.


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