A 29-year-old woman came to us with pain and numbness in her hand that had been referred by a neurologist. On further tests, we found a rare condition where an extra rib was pressing on her blood vessels, causing a blockage and swelling. A detailed vascular assessment revealed a thrombosed brachial artery and aneurysmal dilatation of the right subclavian artery due to a .

一名29岁的女性因手部疼痛和麻木被神经科医生转诊给我们。进一步检查后，我们发现她患有一种罕见的病症，即一条多余的肋骨压迫了她的血管，导致阻塞和肿胀。详细的血管评估显示，由于某种原因，她的肱动脉出现血栓，右侧锁骨下动脉呈现动脉瘤样扩张。

cervical rib

颈肋

.

。

Diagnosis revealed that she was suffering from a rare and potentially limb-threatening condition

诊断结果显示，她患有一种罕见且可能威胁到肢体的疾病。

Arterial Thoracic Outlet Syndrome (ATOS)

动脉性胸廓出口综合征 (ATOS)

with a

带有 a

subclavian aneurysm and distal embolization

锁骨下动脉瘤及远端栓塞

. She underwent a complex surgical procedure including

她接受了一项复杂的手术程序，包括

cervical rib excision, subclavian artery reconstruction, and brachial artery thromboembolectomy

宫颈肋骨切除术、锁骨下动脉重建术和肱动脉血栓切除术

. With timely intervention, we were able to restore blood flow and prevent serious complications, including limb loss. Post-surgery, the patient showed dramatic improvement with full restoration of hand perfusion and resolution of neurological symptoms. The case underscores the importance of multidisciplinary expertise and advanced imaging in diagnosing rare vascular disorders..

通过及时的干预，我们得以恢复血流并防止了包括肢体丧失在内的严重并发症。术后，患者的双手血流完全恢复，神经症状也得到解决，病情显著改善。该案例强调了多学科专业知识和先进成像技术在诊断罕见血管疾病中的重要性。

Dr. Krishna Chaitanya

克里希纳·柴坦亚博士

,

，

Lead Consultant – Vascular & Endovascular Surgery, Aster CMI Hospital

首席顾问——血管与血管内手术，Aster CMI医院

, said: “This case is a powerful reminder that not all limb pain is neurological or musculoskeletal. Vascular conditions like Arterial Thoracic Outlet Syndrome, though rare, can be limb-threatening if not identified early. Through a precise diagnosis and a tailored surgical approach, we were able to restore blood flow and ensure the patient made a full recovery..

，他表示：“这个案例有力地提醒我们，并非所有的肢体疼痛都是神经性或肌肉骨骼性的。像动脉胸廓出口综合症这样的血管疾病，虽然罕见，但如果不能及早识别，可能会对肢体造成威胁。通过精确的诊断和针对性的手术方法，我们成功恢复了血流，确保患者完全康复。”

Dr. Pavan B K, Consultant – Vascular and Endovascular Surgery, Aster CMI Hospital

Pavan B K博士，顾问——血管和腔内血管外科，Aster CMI医院

, said: “Although many people have extra ribs in the neck, a few of them can cause pressure upon vital structures like arteries and veins. It is essential for all those with cervical ribs to check at least once if they have any arterial compression.”

说：“尽管很多人颈部有多余的肋骨，但其中少数人可能会对动脉和静脉等重要结构造成压迫。所有有颈肋的人至少应该检查一次是否有动脉受压的情况，这一点至关重要。”

SGS Lakshmanan, Chief Operating Officer of Aster CMI Hospital, added:

SGS Lakshmanan，阿斯特CMI医院首席运营官补充道：

“This case reflects our commitment to delivering advanced and timely care across specialties. At Aster CMI, we are equipped to handle rare and complex conditions with a multidisciplinary approach. Our goal is to ensure that every patient receives the right diagnosis and the best possible outcome, no matter how challenging the case may be..

“这个病例反映了我们致力于在各专业领域提供先进和及时的护理。在Aster CMI，我们具备通过多学科方法处理罕见和复杂病症的能力。我们的目标是确保每位患者都能获得准确的诊断和最佳的治疗结果，无论病例多么具有挑战性。”