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Case Reports in Pulmonology
Volume 2017, Article ID 9350735, 4 pages
Case Report

Arterial Thoracic Outlet Syndrome Treated Successfully with Totally Endoscopic First Rib Resection

Thoracic Surgery Department, University College London Hospitals (UCLH), NHS Foundation Trust, London, UK

Correspondence should be addressed to Sofoklis Mitsos; rg.oohay@timcohpos

Received 21 April 2017; Revised 23 June 2017; Accepted 6 July 2017; Published 6 August 2017

Academic Editor: Akif Turna

Copyright © 2017 Sofoklis Mitsos et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Thoracic outlet syndrome (TOS) is a constellation of signs and symptoms caused by compression of the neurovascular structures in the thoracic outlet. TOS may be classified as either neurogenic TOS (NTOS) or vascular TOS: venous TOS (VTOS) or arterial TOS (ATOS), depending on the specific structure being affected. The basis for the surgical treatment of TOS is resection of the first rib, and it may be combined with scalenectomy or cervical rib resection. Herein, we describe a case of arterial thoracic outlet syndrome which was successfully treated with totally endoscopic video-assisted thoracoscopic surgery (VATS) first rib resection.