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UDK 616.13:617.541 |
ISSN 0350-2899, 34(2009) 1 pp.37-42 |
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Review Diseases of Aortic Arch Vessels and Thoracic Outlet Syndroma (Oboljenja supraaortalnih grana i sindrom gornje aperture toraksa (TOS)) Nenad Ilijevski(1), Dušan Kostić(2), Miroslav Miličić (1), Dragoslav Nenezić (1), Petar Popov (1), Predrag Gajin (1), Ilija Kuzmanović (2), Dragica Jadranin (2), Marko Dragaš (2), Đorđe Radak (1) (1) KLINIKA ZA VASKULARNU HIRURGIJU, INSTITUT ZA KARDIOVASKULARNE BOLESTI DEDINJE BEOGRAD (2) KLINIKA ZA VASKULARNU HIRURGIJU, INSTITUT ZA KARDIOVASKULARNE BOLESTI KLINIČKOG CENTRA SRBIJE, BEOGRAD |
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Summary:
Atherosclerosis is the most common cause of Aortic Arch Vessels
diseases. Less common are dissection, embolization, compressive
syndromes of the upper thoracic outlet, and various types of
arteritis (Takayasu, giant cell arteritis etc.). Left subclavicular
artery is most commonly affected. Due to anatomical reasons,
chronical stenosans and occlusive lesions of major arterial branches
often stay asymptomatic and therefore undiagnosed for a long period
of time. It is not a rare case that lesions of supraaortic branches
are presented by the gangrene in certain parts of hand. Good
anamnesis is of huge importance, as well as careful physical
examination, which requires radial pulse palpation in normal and
provoked positions. The term Thoracic Outlet Syndrome (TOS) is
represented as a group of neurological and vascular syndromes on the
upper extremity caused by compression on brachial plexus and
subclavicular vessels by the bone or soft tissue structures which
abnormally compress nerves or blood vessels exiting the thoracal
cavity. The aim of this study is to remind physicians in the primary
health care of the simplicity of physical diagnostics of these
diseases and of the great advantage of timely consultation with a
vascular surgeon. Key words: atherosclerosis, Aortic Arch Vessels, TOS
Napomena: kompletan tekst rada na srpskom
jeziku |
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Contact address: Nenad Ilijevski, Institut za kardiovaskularne bolesti Dedinje, Klinika za vaskularnu hirurgiju Milana Tepića 1, 11040 Beograd Email: ilijevskidr@yubc.net |
Paper received: 31.03.2009. Paper accepted: 08.04.2009. Published online: 21.05.2009. |
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