c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Thoracic Outlet Syndrome: 13

A D V E R T I S E M E N T

   
 

The intercostals muscles were divided along the lower border of the first rib. The subclavian artery and vein were carefully separated from the superior surface of the rib. Inflammatory reaction can make these vessels adherent and thin. Post stenotic dilatation can also affect the wall of the artery. The medial rim of the rib is carefully separated from endothoracic/Sibsonís fascia to complete the circumferential dissection.      

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Thoracic Outlet Syndrome: 14

A D V E R T I S E M E N T

   
 

The posterior portion of the rib was divided with a bone cutter. Note the retractor protecting the neurovascular structures.       

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Thoracic Outlet Syndrome: 15

A D V E R T I S E M E N T

   
 

The anterior rib cut was made and the specimen removed.       

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This page was last modified on 5/18/2004.