Cardiovascular Surgery and Interventions 2024, Vol 11, Num 1 Page(s): 058-063
Surgery for thoracic outlet syndrome: Holding a tiger by the tail?

Rüçhan Anbar

Department of Thoracic Surgery, University of Health Sciences, Sancaktepe Şehit Prof Dr Ilhan Varank Training and Research Hospital, Istanbul, Türkiye

Keywords: Brachial plexus, subclavian artery, subclavian vein, thoracic outlet syndrome
Objectives: In this study, the patients operated on for thoracic outlet syndrome were evaluated in terms of their presenting symptoms, physical examination findings, laboratory test results, complications, and the effectiveness of surgical treatment.

Patients and methods: Surgical procedures performed on 28 patients (21 females, 7 males; mean age: 32.4±11.7 years; range, 16 to 59 years) between June 2004 and March 2010 were included in the retrospective study. Demographic characteristics, occupation, complaints, time from symptom onset to surgery, postoperative follow-up data, and preoperative and postoperative ulnar nerve conduction velocity tests were recorded through careful review of medical records, operative reports, and patient interviews.

Results: Thirty-two surgical procedures were performed in total. Transaxillary surgery was performed in all cases. Electromyography examination results showed a significant improvement in nerve conduction velocity after surgery. Recurrence occurred in only three of 32 (9.4%) surgeries, and in one of these three cases, subsequent surgery was performed. According to clinical results, the success rate was 90.6%.

Conclusion: Complaints in thoracic outlet syndrome coincide with the period when physical activities are the most intense. It is observed that being a housewife has an important place in the etiology of disease in Türkiye. The optimal surgical approach through transaxillary route is valuable for the management of the disease.

DOI : 10.5606/e-cvsi.2024.1607