PMC3560684_01
Clinical evaluation revealed a supraclavicle pulsitle mass. The patient reports having this clinical sign since her early teens.
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In the supra-clavicle area a pulsatile and tender mass was palpated (Figure 1).
Angiography revealed a cervical rib (dotted lined arrow) and a post-stenotic aneurysm (solid line arrow) which was site of thrombus generation which in turn caused chronic embloization of the right upper limb leading to the final embolization of the right brachial artery (arrow head).
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Emergency angiography of the right upper limb revealed an acute occlusion of the brachial artery, indicative of an embolus (Figure 2) and the distal vessels were not visualized.