تفاصيل الوثيقة نوع الوثيقة : مقال في مجلة دورية  عنوان الوثيقة : The Surgical Treatment of Thoracic Outlet Syndrome (TOS) The Surgical Treatment of Thoracic Outlet Syndrome (TOS)   الموضوع : جراحة الأوعية الدموية  لغة الوثيقة : الانجليزية  المستخلص : Thoracic outlet syndromes (T.O.S.) are uncommon and difficult to manage. The objective of this article was to review the author's experience with regard to its management. All patients presenting with T.O.S. who were seen by the author over 6 years period were studied. There were 21 cases of T.O.S. The mean age of the group was 37.0 years (range 17-65 years). Majority were females (76.2%). The causative anomalies were 17 cervical rib (80.9%), 3 fibrous bands (14.3%), one hypoplastic first rib. Angiography was done selectively. Twelve patients presented with neurological manifestations (57.2%), 3 (14.3%) with arterial, 2 (9.5%) venous and 4 (19.0%) with more than one structure compressed. Fifteen cases were managed conservatively while 6 (2~.8%) patients underwent a surgical decompression procedure via a supraclavicular route solely. There was no mortality and no significant morbidity rates. All patients (except one) in the surgical group did well in the follow-up period. Surgical decompression of T.O.S. cases is recommended in all patients with severe neurological symptoms and/or evidence of vascular compression. Simple excision of the cervical rib and/or a constricting fibrous band via a supraclavicular incision is sufficient in most of the cases  ردمد : 1016-7315  اسم الدورية : The Saudi Heart Journal  المجلد : 7  العدد : 2  سنة النشر : 1417 هـ 1997 م  نوع المقالة : مقالة علمية  تاريخ الاضافة على الموقع : Monday, August 24, 2009  الباحثون اسم الباحث (عربي) اسم الباحث (انجليزي) نوع الباحث المرتبة العلمية البريد الالكتروني حسن الزهراني Al-Zahrani, Hasan باحث دكتوراه   الملفات اسم الملف النوع الوصف  20326.pdf pdf scan0001 الرجوع إلى صفحة الأبحاث