Journal of Regional Section of Serbian Medical Association in Zajecar

Year 2009     Vol 34     No 1
     
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      UDK 616.13:617.541

ISSN 0350-2899, 34(2009) 1 pp.37-42

     
   
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
 
     
 
 
     
 

 

         
      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
Note: full text in Serbian

     
             
     
     
             
      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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Timočki medicinski glasnik, Zdravstveni centar Zaječar
Journal of Regional section of Serbian medical association in Zajecar
Rasadnička bb, 19000 Zaječar, Srbija
E-mail: tmglasnik@gmail.com

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