Unusual etiology of upper extremity ischemia in a scleroderma patient: Thoracic outlet syndrome with arterial embolization

Beate Hugl, W. Andrew Oldenburg, Albert G. Hakaim, Scott T. Persellin

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Although the causes of digital ischemia and necrosis are diverse in women, the most common etiology is connective tissue disease. We describe a patient with scleroderma who presented with arm ischemia secondary to arterial embolization from thoracic outlet syndrome. Her sublavian artery was compressed by the anterior scalene muscle and a cervical rib, leading to a stenosis with poststenotic dilation of the artery. Within the aneurysmal formation was a thrombus, which was probably the source of the distal embolization. The patient underwent surgical resection of the cervical and first rib. The abnormal portion of the subclavian artery was resected and replaced with an interposition graft.

Original languageEnglish (US)
Pages (from-to)1259-1261
Number of pages3
JournalJournal of vascular surgery
Volume45
Issue number6
DOIs
StatePublished - Jun 1 2007

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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