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Exercise induced critical ischaemia of the upper limb secondary to a cervical rib
  1. R G Casey,
  2. S Richards,
  3. M O’Donohoe
  1. Department of Vascular Surgery, Waterford Regional Hospital, Dunmore Road, Co Waterford, Ireland
  1. Correspondence to:
 Mr Casey, Surgical Research Department, Beaumont Hospital, Beaumont Road, Dublin 9, Ireland; 


The case is reported of a 32 year old woman with acute on chronic upper limb ischaemia due to thrombus from a cervical rib that had compressed the right subclavian artery of her dominant hand after use of a rowing machine. If not detected early, this condition can be debilitating especially in the young. A multidisciplinary approach is advisable to ensure a satisfactory outcome.

  • exercise
  • ischaemia
  • cervical rib
  • thoracic

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