Minnick Caroline E, Lynch Lindsay, Chang Kevin, Stutsrim Ashlee, Freischlag Julie, Goldman Matthew
Department of Vascular and Endovascular Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, NC.
J Vasc Surg Cases Innov Tech. 2025 May 9;11(4):101839. doi: 10.1016/j.jvscit.2025.101839. eCollection 2025 Aug.
Arterial thoracic outlet syndrome is a rare condition characterized by subclavian artery compression, leading to occlusion, poststenotic dilation, aneurysm formation, and distal embolization. We present the case of a 21-year-old collegiate volleyball player with arterial thoracic outlet syndrome and chronic limb-threatening ischemia owing to bilateral cervical ribs. Initially misdiagnosed as Raynaud's phenomenon, she experienced progressive ischemic symptoms. A staged surgical approach included thoracic outlet decompression followed by axillary-to-radial artery bypass without the need for axillosubclavian arterial reconstruction. She returned to collegiate athletics with successful arterial remodeling and graft patency.
动脉型胸廓出口综合征是一种罕见疾病，其特征为锁骨下动脉受压，导致闭塞、狭窄后扩张、动脉瘤形成及远端栓塞。我们报告一例21岁的大学排球运动员病例，该患者患有动脉型胸廓出口综合征，并因双侧颈肋导致慢性肢体威胁性缺血。最初被误诊为雷诺现象，她出现了进行性缺血症状。一种分期手术方法包括胸廓出口减压，随后进行腋动脉至桡动脉旁路移植术，无需进行腋锁骨下动脉重建。她成功实现动脉重塑且移植物通畅，重返大学体育赛事。
