Constantine Apostolos Raptis MD, Presenter: Nothing to Disclose

Thoracic outlet syndrome (TOS) refers to the constellation of symptoms produced as a result of compression of the neurovascular structures which traverse the thoracic outlet. As part of a large referral center for patients with TOS, our radiology department has had the opportunity to participate in the care of thousands of patients with TOS or suspected TOS. The purpose of this poster is to share our experiences and highlight the role the radiologist plays in the care of these patients from initial diagnosis to post-surgical care. Specifically, we will: 1. Review relevant anatomy of the thoracic outlet on cross sectional imaging 2. Present imaging findings associated with the diagnosis of TOS 3. Discuss common post-operative complications of corrective surgery for TOS

I. Anatomy of the thoracic outlet on CT and MRI II. Clinical aspects of TOS III. Role of imaging and findings seen in the diagnosis of TOS Conventional radiographs CT MRI Angiography IV. Complications of thoracic outlet decompression surgery Early complications: Hemothorax, chylothorax, pneumothorax, supraclavicular infection or hematoma, pulmonary infection More delayed complications: Lung herniation, nerve damage, graft thrombosis, vascular stenosis, remnant rib, contralateral symptoms    

http://abstract.rsna.org/uploads/2014/14011372/14011372_42e1.pdf

Raptis, C, Imaging of the Patient with Thoracic Outlet Syndrome.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14011372.html