Subclavian artery aneurysm secondary to a cervical supernumerary rib in a child

Abstract

A case of subclavian artery aneurysm secondary to a cervical supernumerary rib is reported in a 9-year-old boy. Such a complication in a cervical rib has never been reported in so young a child. The risk of inserting inextensible prosthetic material in a growing child led to regular supervision instead of an early surgical cure.

Thoracic outlet syndrome in an adolescent with bilateral bifid ribs

“…Thoracic outlet syndrome is extremely rare in children and the relevant literature mainly comprises some anectodal cases (Alp et al, 1982;Vaksmann et al, 1987;Yang and Letts, 1996;Shepherd, 1999;DiFiore et al, 2002;Vercellio et al, 2003). Overall, the presentation, clinical findings, and the treatment alternatives are not much different than the ones in adults (Vercellio et al, 2003).…”

Surgery for paediatric thoracic outlet syndrome

“…Almost all vascular symptomatology resolved with surgery, possibly reflecting the lack of truly severe vascular compromise in this series (most cases would be classified as neurogenic, with some instances of mild-to-moderate vascular involvement), although it may also reflect a greater resilience of vascular structures compared to neural structures. 13,16,17,[21][22][23] None of the factors examined for predictability of surgical outcome, including age at presentation, gender, and provocative postures, was found to be significant. Both EAST and Allen's manoeuvre had poor predictive value, though in eight patients post-operative EAST testing correlated with improvement or recurrence of symptoms.…”

“…[13][14][15][16][17][18][19][20][21][22][23]26 Despite residual symptoms in most of the operated limbs (67%), the majority of operations were deemed successful by both patients and observers. This may represent the significant improved mobility of these limbs post-operatively which was more important to the patients' quality of life.…”

“…12 The relative paucity of reports of paediatric TOS makes the condition in this age group particularly contentious. [13][14][15][16][17][18][19][20][21][22][23] The few studies of TOS in paediatric patients that have been reported in the literature are summarized in Table 1.…”

Syndrome du défilé thoraco-brachial neurologique chez l’enfant: à propos d’un cas

“…Aucun facteur prédictif de résultat chirurgical ne s’est révélé significatif, y compris l'âge, le sexe et les manœuvres provocatrices. Malgré les symptômes résiduels dans la plupart des malades opérés (67%) [9, 13]. La majorité des interventions chirurgicales ont été jugées réussies par les patients et l’entourage.…”