A novel finding in thoracic outlet syndrom: Tachycardia Une nouvelle manifestation du syndrome de la traversée cervico-thoraco-brachiale: La tachycardie

KAYMAK B., ÖZÇAKAR L., Oguz A. K., ARSAVA E. M., ÖZDÖL Ç.

Revue du Rhumatisme (Edition Francaise), vol.71, no.9, pp.813-815, 2004 (Scopus) identifier

  • Publication Type: Article / Article
  • Volume: 71 Issue: 9
  • Publication Date: 2004
  • Doi Number: 10.1016/j.rhum.2003.07.005
  • Journal Name: Revue du Rhumatisme (Edition Francaise)
  • Journal Indexes: Scopus
  • Page Numbers: pp.813-815
  • Keywords: Holter monitorization, Roos test, Sympathetic nerve compression, Tachycardia, Thoracic outlet syndrom
  • Hacettepe University Affiliated: Yes

Abstract

In this case report, we rendered a 22-year-old woman with the diagnosis of neurogenic thoracic outlet syndrome. We have evaluated her symptoms of palpitation with Holter monitorization during Roos test before and after surgery where transaxillary first rib resection and scalenectomy were performed. Postoperatively she improved and the tachycardia resolved. We propose that stellate ganglion or postganglionic efferent sympathetic fibers forming the cardiac plexus are exposed to compression while Roos test is being performed. Due to this irritation, there can be an increase in the cardiac sympathetic activity. © 2003 Elsevier SAS. Tous droits réservés.