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May 16, 2026Clinical Case ReportsOpen Access

Surgical Management of Arterial Thoracic Outlet Syndrome due to Cervical Rib in a 17‐Year‐Old Male With Gangrenous Ulcer on Fingertip Requiring Multiple Bypass: A Case Report

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Case report demonstrates surgical intervention, resolving arterial thrombosis in a young male with a cervical rib.

This report aims to highlight the surgical management of arterial thoracic outlet syndrome (ATOS) caused by a cervical rib in a young patient.
Surgical intervention including right cervical rib excision and scalenus anterior muscle resection
Bypass procedures performed to restore blood flow
Thrombectomy on brachial, radial, and ulnar arteries
Restored pulses and improved circulation post-surgery
Follow-up Doppler ultrasounds confirmed patent grafts
Resolution of ischemic symptoms observed in the patient

Babar et al. (2026) studied this question.

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