Costilla accesoria cervical como causa de síndrome de apertura torácica superiornuestra experiencia de los últimos diez años

  1. Vaquero, C. 1
  2. Del Río, L. 1
  3. García Rivera, E. 1
  4. Hernández-Crespo, C. 1
  5. Díez-Martínez, M. 1
  6. San Norberto, E. 1
  1. 1 Hospital Clínico Universitario de Valladolid. Servicio de Angiología y Cirugía Vascular
Journal:
Revista española de investigaciones quirúrgicas

ISSN: 1139-8264

Year of publication: 2020

Volume: 23

Issue: 3

Pages: 87-91

Type: Article

More publications in: Revista española de investigaciones quirúrgicas

Abstract

The syndrome of superior thoracic opening due to cervical rib is a not very frequent pathology, caused by the persistence after birth of the last cervical rib that should have been reabsorbed. The pathology that it originates is comprehensive of neighboring structures, especially nervous, but also vascular. It manifests itself in young patients after adolescence with a special incidence in the female sex. The diagnosis is simple if we think of this cause as the etiological cause of the syndrome, with a simple neck base X-ray to show its presence, although it is possible to perform other complementary ones. Treatment is the simple removal of the rib, which in most cases resolves the clinical picture. The experience of our Hospital Vascular Service in the last ten years is analyzed in the publication, analyzing demographic, diagnostic and therapeutic aspects and the results obtained.