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Thoracic Outlet Syndrome (TOS)

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menu Thoracic Outlet Syndrome (TOS)
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Compressed blood vessels and nerves

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Getting the care you need starts with seeing one of our heart or vascular specialists.

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Thoracic outlet syndrome involves pinching and compression of the nerves and blood vessels in the space between the collarbone and the first rib. The doctors in our Vascular and Endovascular Program are recognized leaders in treating patients with disorders such as this, and we’re on the forefront of the most advanced treatment techniques available.

Thoracic outlet syndrome can cause swelling, discoloration, weakness, numbness or pain in the shoulder, arm and fingers. Sports that involve repeated shoulder movement, such as baseball or swimming, may increase your risk, as can injuries to the back or neck, poor posture or defects defects present from birth.

There are a number of types of thoracic outlet syndrome, including axillo-subclavian vein thrombosis. Without proper treatment, the condition can lead to serious problems, including death of tissue (gangrene), blood clots or a pulmonary embolism.

Vascular and Endovascular Program

Partner with a recognized leader in offering care ranging from straightforward vascular disease to the most complex vascular disorders.

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Tests

Your doctor will try to reproduce your symptoms by having you move your arms, neck and shoulders in various positions. You also may need one or more tests to confirm a diagnosis of thoracic outlet syndrome.

Angiogram (Angiography)

An angiogram is a special X-ray taken as a special dye is injected through a thin, flexible tube called a catheter to detect blockages or aneurysms in blood vessels.

Chest X-ray

Chest X-rays use a small dose of radiation to create pictures of the structures inside the chest, including the lungs, heart and chest wall.

Computerized Tomography (CT) Scan

The cardiac computed tomography scan, or cardiac CT, uses X-rays to create three-dimensional images of your heart and blood vessels.

Magnetic Resonance Imaging (MRI)

Magnetic resonance imaging, better known as cardiac MRI, is a combination of radio waves, magnets and computer technology to create images of your heart and blood vessels.

Treatments

Physical therapy and medications may help relieve your symptoms and reduce your risk of a dangerous blood clot. If these approaches aren’t enough, you may need a surgical procedure called thoracic outlet decompression.

Thoracic Outlet Decompression

Learn how MedStar Heart & Vascular Institute uses thoracic outlet decompression to treat thoracic outlet syndrome.

Physicians

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22 Doctors & Specialists
Dr. Kevin Arthur Brown, MD
Dr. Kevin Arthur Brown, MD
Vascular Surgery
3333 North Calvert Street Suite 325 Baltimore, MD 21218
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Dr. Edward Yiming Woo, MD
Dr. Edward Yiming Woo, MD
Vascular Surgery
(229)
106 Irving Street Northwest Physician Office Building North Tower, Suite 3150 Washington, DC 20010
(202) 877-0275
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Dr. Javairiah Fatima, MD
Dr. Javairiah Fatima, MD
Vascular Surgery
18101 Prince Philip Drive Olney, MD 20832
(301) 774-8962
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Dr. Steven David Abramowitz, MD
Dr. Steven David Abramowitz, MD
Vascular Surgery
(224)
106 Irving Street Northwest Suite 3150 Washington, DC 20010
(202) 877-0275
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Dr. Jason Andrew Chin, MD
Dr. Jason Andrew Chin, MD
Vascular Surgery
5601 Loch Raven Boulevard Smyth Bldg Ste 303 Baltimore, MD 21239
(443) 444-3431
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Dr. Ayesha Nzeribe Hatch, MD
Dr. Ayesha Nzeribe Hatch, MD
Vascular Surgery
106 Irving Street Northwest Suite NW Washington, DC 20010
(202) 877-3100
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Dr. Margaret Walkup Arnold, MD
Dr. Margaret Walkup Arnold, MD
Vascular Surgery
9000 Franklin Square Drive Baltimore, MD 21237
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Dr. Kyle B. Reynolds, MD
Dr. Kyle B. Reynolds, MD
Vascular Surgery
3800 Reservoir Road Northwest OPERATING ROOM Washington, DC 20007
(202) 444-2255
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Dr. Misaki Mikki Kiguchi, MD
Dr. Misaki Mikki Kiguchi, MD
Vascular Surgery
(342)
3800 Reservoir Road Northwest 4th Floor Washington, DC 20007
(202) 444-2255
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Dr. Cameron M. Akbari, MD, MBA
Dr. Cameron M. Akbari, MD, MBA
Vascular Surgery
(269)
106 Irving Street Northwest Suite 3600 Washington, DC 20010
(202) 444-2255
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Dr. Geetha Jeyabalan, MD
Dr. Geetha Jeyabalan, MD
Vascular Surgery
(246)
2002 Medical Parkway Suite 520 Annapolis, MD 21401
(410) 571-8430
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Dr. Suzanne Siefert Kool, MD
Dr. Suzanne Siefert Kool, MD
Vascular Surgery
(170)
5601 Loch Raven Boulevard GSH SMYTH BLDG Baltimore, MD 21239
(410) 554-2950
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Dr. Raghuveer Vallabhaneni, MD
Dr. Raghuveer Vallabhaneni, MD
Vascular Surgery
(173)
3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
(410) 554-2950
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Dr. Mark O'Brien Peeler, MD
Dr. Mark O'Brien Peeler, MD
Vascular Surgery
(445)
2002 Medical Parkway Suite 520 Annapolis, MD 21401
(410) 571-8430
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Dr. John Harvey, MD
Dr. John Harvey, MD
Vascular Surgery
(256)
24035 Three Notch Road Hollywood, MD 20636
(301) 373-7900
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Dr. Joshua A. Dearing, MD
Dr. Joshua A. Dearing, MD
Vascular Surgery
(184)
7501 Surratts Road 208 Clinton, MD 20735
301-877-7353
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Dr. Lucy B. Kupersmith, MD
Dr. Lucy B. Kupersmith, MD
Vascular Surgery
1630 Main Street Suite 208 Chester, MD 21619
(410) 571-8430
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Dr. Arthur Flatau, III, MD
Dr. Arthur Flatau, III, MD
Vascular Surgery
(301)
25500 Point Lookout Road Floor 2 Leonardtown, MD 20650
(240) 434-4072
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Dr. Stephen Fulvio Stanziale, MD
Dr. Stephen Fulvio Stanziale, MD
Vascular Surgery
(275)
9101 Franklin Square Drive Outpatient Center, Suite 212 Baltimore, MD 21237
(443)-777-1900
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Dr. Jason Ryan Crowner, MD
Dr. Jason Ryan Crowner, MD
Vascular Surgery
5601 Loch Raven Boulevard GSH SMYTH BLDG Baltimore, MD 21239
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Dr. Krystal C. Maloni, MD
Dr. Krystal C. Maloni, MD
Vascular Surgery
106 Irving Street Northwest Suite NW Washington, DC 20010
202-416-2000
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Dr. Abdullah A. Alfawaz, MD
Dr. Abdullah A. Alfawaz, MD
Vascular Surgery
18109 Prince Philip Drive Basement Olney, MD 20832
(202) 877-0275
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