Syndrome of upper thoracic aperture
The article analyzes the current literature on the problem of neurovascular syndromes of the upper extremities, particularly costal-clavicular syndrome (CCS). Remains a lot of controversial opinions regarding the diagnosis, differentiation of various forms, methods of treatment, choice to access for Ist rib resection and select the method of surgical intervention in this syndrome. Costal-clavicular syndrome is one of the causes of upper extremities chronic ischemia and neurological disorders. Due tovariety of clinical symptoms disease eliminates many other pathologies, such as angina, osthochondrosis, intercostal causalgia, shoulder-scapular periarthritis et al., so many patients do not come to specialist. In the literature questions about the indications for surgical treatmentalso are discussed, so supporters of conservative treatment argue that the effectiveness of operation is not great, relapses can reach up to 20%, whereas in conservative therapy can also be achieved positive results in most patients. However, CCS can lead to serious complications - arterial and venous thrombosis, thromboembolism, and critical ischemia of the upper extremities, secondary Raynaud's syndrome. Surgical treatment of the upper thoracic aperture syndrome has a distinct advantage compared with conservative therapy has shownanalysis of literature.