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Heart, Lung and Circulation
Clinical Spotlight| Volume 25, ISSUE 12, e162-e164, December 2016

An Unusual Cause of Thoracic Outlet Syndrome

      Thoracic outlet syndrome (TOS) is a condition arising from compression of the subclavian vessels and/or brachial plexus. Many factors or diseases may cause compression of the neurovascular bundle at the thoracic outlet. We describe the case of a 41-year-old woman with TOS who presented with vascular venous symptoms. Chest computed tomography (CT) scan showed a cystic mass at the level of cervico-thoracic junction, located between the left subclavian artery and vein, which appeared compressed. The cystic mass was removed through a cervical approach and it was found to be a cyst arising from the thoracic duct compressing and anteriorly dislocating the left subclavian vein. After surgery symptoms promptly disappeared.

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      References

        • Freischlag J.
        • Orion K.
        Understanding thoracic outlet syndrome.
        Scientifica (Cairo). 2014; 2014: 248163
        • Wan X.
        • Zhou Z.
        A Giant Thoracic Duct Cyst as the Cause of Abdomen Pain: A Case Report and Review of the Literature.
        Ann Thorac Cardiovasc Surg. 2015; 21: 487-491
        • Pramesh C.S.
        • Deshpande M.S.
        • Pantvaidya G.H.
        • Sharma S.
        • Deshpande R.K.
        Thoracic duct cyst of the mediastinum.
        Ann Thorac Cardiovasc Surg. 2003; 9: 264-265
        • Gottwald F.
        • Iro H.
        • Finke C.
        • Zenk J.
        Thoracic duct cysts: a rare differential diagnosis.
        Otolaryngol Head Neck Surg. 2005; 132: 330-333
        • Fromang D.R.
        • Seitzer M.R.
        • Tobias J.A.
        Thoracic duct cyst causing mediastinal compression and acute respiratory insufficiency.
        Chest. 1975; 67: 725-727
        • De Santis M.
        • Martins V.
        • Fonseca A.L.
        • Santos O.
        Large mediastinal thoracic duct cyst.
        Interact Cardiovasc Thorac Surg. 2010; 10: 138-139
        • Forney M.C.
        • Wilkinson L.M.
        Case 180: thoracic duct cyst.
        Radiology. 2012; 263: 301-304
        • Kwak M.Y.
        • Bae C.H.
        Thoracic Duct Cyst in Mediastinum - A case report.
        Korean J Thorac Cardiovasc Surg. 2011; 44: 83-85