ABSTRACT
Perhaps no disorder is as vexing to the vascular surgeon as the thoracic outlet syndrome (TOS). Although the venous (Paget-Schroetter) and arterial sequelae of thoracic outlet compression have clear objective signs, the more common neurogenic form requires a clinical diagnosis. There is considerable controversy regarding this diagnosis, and editorials by physicians experienced in treating these patients can be found warning clinicians of both over-and underdiagnosing of neurogenic TOS (1, 2).
