Endovascular treatment of right subclavian artery occlusion after cervical rib removal

Thoracic Outlet Syndrome (TOS) is a compression problem that occurs in the cervico-thoracic space, where nerve or vascular structures can be compressed on their way to the armpit, leading to organ damage. This present a case of white woman with a prominent, symptomatic first rib and a chronic brachial plexus lesion with acute arterial occlusion after surgical removal of a supernumerary rib. An angioplasty with an expandable balloon stent was performed in order to restore arterial flow. To date, we have not identified case reports of acute arterial occlusion immediately after open resection of the first rib with endovascular repair. Although long-term follow-up is necessary, the outcome of the case appeared promising.