Abstract
We describe here an unusual case of thrombosis of left subclavian artery in a patient with cervical rib. The patient presented with features of ischaemia of left upper limb. X-ray chest revealed bilateral cervical ribs, longer on the left side. Color Doppler studies showed echogenic thrombus within the left subclavian artery. Angiography revealed complete occlusion of left subclavian artery. Embolectomy was done. She was planned for excision of rib.
Highlights
Cervical ribs are anomalies that arise from the lowest cervical vertebrae
We report a case of cervical rib associated with thrombosis of left subclavian artery
Embolectomy was done and large amount of thrombus was removed from left subclavian artery
Summary
It is present in approximately 1-2% of the population and in 4.5% of patients with Thoracic outlet syndrome. We report a case of cervical rib associated with thrombosis of left subclavian artery. Signs of ischemia were present in left upper limb with bluish discoloration of finger tips (Figure 1). Doppler study of left upper arm showed a large echogenic thrombus within the left subclavian artery.
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