Jornal Vascular Brasileiro
https://app.periodikos.com.br/journal/jvb/article/doi/10.1590/1677-5449.202501112
Jornal Vascular Brasileiro
Case Report

Venous thoracic outlet syndrome in the presence of cervical rib: report of two cases

Síndrome do desfiladeiro torácico venosa na presença de costela cervical: relato de dois casos

Juliana Borges Oliveira Cano; Talita Caroline de Oliveira Valentino; Alexandre Maierá Anacleto; Augustus Cézar Polimeno; Márcia Maria Morales

http://dx.doi.org/10.1590/1677-5449.202501112 J Vasc Bras, vol.25, e20250111, 2026
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Abstract

Thoracic outlet syndrome is a rare condition caused by the compression of neurovascular structures in the region between the neck and chest. The venous form accounts for 2% to 3% of cases, with deep vein thrombosis most often caused by compression of the subclavian-axillary vein segment between the first rib and the clavicle. The occurrence of a cervical rib as a cause of venous deep vein thrombosis is even rarer. In this report, we present the diagnosis, treatment, and outcome of 2 cases of venous deep vein thrombosis resulting from 2 different mechanisms. The approach was based on a review of the literature on venous thoracic outlet syndrome and cervical rib.

Keywords

thoracic outlet syndrome; cervical rib; upper limb deep vein thrombosis

Resumo

A síndrome do desfiladeiro torácico (SDT) é uma condição rara causada pela compressão das estruturas neurovasculares na região entre o pescoço e o tórax. A forma venosa é responsável por 2 a 3% dos casos, sendo a trombose venosa profunda (TVP) mais comumente causada pela compressão do segmento da veia subclávia-axilar entre a primeira costela e a clavícula. A ocorrência de uma costela cervical como causa de TVP venosa é ainda mais rara. Neste relato, apresentamos o diagnóstico, o tratamento e o desfecho de dois casos de TVP resultantes de mecanismos diferentes. A abordagem foi baseada em uma revisão da literatura existente sobre a SDT venosa e a costela cervical.

Palavras-chave

síndrome do desfiladeiro torácico; costela cervical; trombose venosa profunda do membro superior

References

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Submitted date:
03/07/2026

Accepted date:
07/15/2026

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
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