al-Hassan H K, Abdul Sattar M, Eklof B
Department of Surgery, Kuwait University.
J Cardiovasc Surg (Torino). 1988 May-Jun;29(3):322-5.
The thoracic outlet syndrome is known to cause brachial neuropathy. Pressure on the subclavian artery causing post-stenotic dilatation with intraluminal thrombosis is not a common complication. This may lead to antegrade embolisation and ischemic changes in the upper limb. In right sided thoracic outlet syndrome the thrombus may extend retrogradely. From this an embolus may detach to the right hemisphere of the brain resulting in left sided hemiplegia. This is a rare but serious complication from a neglected, relatively benign, curable condition. This report describes two cases of a right sided thoracic outlet syndrome due to cervical rib compression with retrograde embolisation.
胸廓出口综合征已知可导致臂丛神经病变。锁骨下动脉受压导致狭窄后扩张并伴有管腔内血栓形成并非常见并发症。这可能导致顺行性栓塞和上肢缺血性改变。在右侧胸廓出口综合征中，血栓可能逆行延伸。由此，栓子可能脱落至大脑右半球，导致左侧偏瘫。这是一种由被忽视的、相对良性且可治愈的疾病引发的罕见但严重的并发症。本报告描述了两例因颈肋压迫导致右侧胸廓出口综合征并伴有逆行性栓塞的病例。
