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Thoracic outlet syndrome caused by first rib hemangioma

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1 Thoracic outlet syndrome caused by first rib hemangioma
Kee-Min Yeow, MDa, Hung-Chang Hsieh, MDb  Journal of Vascular Surgery  Volume 33, Issue 5, Pages (May 2001) DOI: /mva Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

2 Fig. 1 Plain chest radiograph reveals enlarged first rib with prominent bone marrow trabeculations (arrows ). Normal first rib is seen on left. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

3 Fig. 2 CT scan shows expansile first rib (arrows ) with contrast enhancement. Diffuse coarsening of bone marrow trabeculation is seen. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

4 Fig. 3 A, Right arm venogram with patient's arm in neutral position shows elevation of subclavian vein (V ) by underlying hump over superior surface of first rib. B, Corresponding venogram with patient's arm abducted reveals complete obstruction of subclavian vein (V ). Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

5 Fig. 4 Venogram on seventh day after first rib resection with patient's arm abducted shows extensive external compression of subclavian and axilla veins but no occlusion. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

6 Fig. 5 Histologic specimen reveals proliferation of thick- and thin-walled blood vessels associated with prominent vascular lakes diagnostic of a hemangioma (hematotoxylin and eosin stain, original magnification ×100). Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

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