Trudności techniczne w uzyskaniu prawidłowej czasowej stymulacji przezżylnej u pacjenta z zespołem ciasnoty górnego otworu klatki piersiowej

Thoracic outlet syndrome (TOS) is a group of clinical symptoms caused by pressure on the vascular-nerve structures, passing through the upper thoracic opening. The etiology of this syndrome has many causes, congenital, traumatic and functionally acquired. We presented a patient with bradycardia, who had a problem during implanting an endocavitary electrode from the access through the right subclavian vein. There was a possibility of functionally acquired, age-related cervical spine abnormalities and incorrect position of the neck. In similar cases, when TOS is suspected, accessing the vessels in the upper thoracic opening might be problematic and other vascular access should be considered