Diagnostic Dilemmas and The Benefit of Robotic-Assisted Surgery in the Management of Neurogenic Thoracic Outlet Syndrome in Complex Patients

Annals of Thoracic Surgery Short Reports 2026 Open access

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Authors: Emma M. Federico, Alexander W. Pohlman, Madison Lozanoski, Zaid M. Abdelsattar, Julia M. Coughlin
DOI: 10.1016/j.atssr.2026.01.001
Cited by: 0
References: 7

Abstract

A 64-year-old male patient presented with progressive, debilitating bilateral arm pain for 2 years following traumatic cervical spine injuries requiring multiple operations. Despite extensive diagnostic workup by several specialists, he was left without a diagnosis, treatment plan, or ability to perform his job. He was diagnosed with bilateral neurogenic thoracic outlet syndrome, based on clinical diagnostic criteria. A 2-staged bilateral robotic first rib resection resulted in complete resolution of his symptoms.

Fields of Study & Subjects

Peripheral Nerve Disorders Cervical and Thoracic Myelopathy Nerve Injury and Rehabilitation

Publication details

Journal / source
Annals of Thoracic Surgery Short Reports
Volume
4
Issue
3
Pages
948–951
Publication date
20 January 2026
Language
EN