Cardiovascular Surgery News
Scientific and Information Journal

Computed tomography visualization of thoracic outlet syndrome

Authors: Makarenko V.N., Pirogova M.A., Shlyappo M.A.

Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, 121552, Russian Federation

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Heading: Clinical Cases

UDC: 616.073.75

Link: Clinical Physiology of Blood Circulaiton. 2020; 3 (3): 201-202

Quote as: Makarenko V.N., Pirogova M.A., Shlyappo M.A. Computed tomography visualization of thoracic outlet syndrome. Cardiovascular Surgery News. 2019; 3 (3): 201–2 (in Russ.). DOI: 10.24022/2588-0284-2019-3-3-201-202

Received / Accepted:  19.07.2019/02.08.2019

Full text:  


The syndrome of neurovascular bundle compression occurs both in the form of lesions of individual components – veins, arteries or nerves, and in a combination of lesions of several components. Compression of the neurovascular bundle can develop between the stair muscles and the cervical rib, I rib and clavicle, and under the tendon of the pectoralis minor muscle. Also, the compression is influenced by the shape of the clavicle and the I rib, the location (angle of inclination) of the I rib in relation to the clavicle. In the case of a high location of the I rib and the shape of the clavicle with a bend back, the gap between the rib and the clavicle narrows. A gap of less than 8 mm necessarily leads to compression of blood vessels. In connection with the above, particularly important are high-tech diagnostic methods, such as multispiral computed angiography, which allows you to accurately verify the topography of the neurovascular bundle.


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About Authors

  • Makarenko Vladimir Nikolaevich, Dr. Med. Sc., Professor, Chief of Department, orcid.org/0000-0002-8700-7592;
  • Pirogova Marina Anatolyevna, Cand. Med. Sc., Radiologist, orcid.org/0000-0002-9883-7276;
  • Shlyappo Maria Alexandrovna, Cand. Med. Sc., Radiologist, orcid.org/0000-0001-6264-8919

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