Excision of Cervical Rib through Supraclavicular Approach

Thoracic Outlet Syndrome (TOS) is a clinical condition due to compression of the neurovascular structures, such as brachial plexus and subclavian vessels, during their course between the neck and axilla. Different etiological factors including cervical rib are involved in this diverse group of disorder. Depending on these factors, patients presents with either neurological or vascular compromise. Multiple disciplinary team effort and appropriate surgical technique such as the supraclavicular approach to eliminate the definitive element defines cure in terms of long term functional capacity. We report a case of a 27 year old female who presented with complain of progressive left upper limb pain and paresthesias. We planned an excision of cervical rib with thrombectomy and stenting of the subclavian artery though a supraclavicular approach.