Unilateral Video-Assisted Thoracoscopic Sympathectomy in the Treatment of Raynaud’s Syndrome: A Case Report

Abstract

Raynaud's syndrome is a clinical entity characterized by episodes of pain, digital ischemia and hyperhidrosis in the distal part of the extremities due to arterial vasospasm phenomena. It is subdivided into primary and secondary, which is a manifestation of other underlying pathologies or stressors such as result of an imbalance between vasoconstriction and vasodilation. In most cases, conservative medical treatment get good control in most cases. Thoracic sympathectomy is indicated as the last therapeutic option in refractory cases. We report a case of a 58-year-old male with digital ulcers on the left hand due to Raynaud's syndrome resistant to conservative treatment who underwent thoracic sympathectomy.