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Thoracic outlet anatomy viewed through a transaxillary approach, with inset showing normal anatomic relationships.
Thoracic outlet anatomy viewed through a transaxillary approach, with inset showing normal anatomic relationships.

Thoracic outlet anatomy viewed through a transaxillary approach, with inset showing normal anatomic relationships.

A periosteal elevator dissects the first rib to divide intercostal muscle attachments.

A periosteal elevator dissects the first rib to divide intercostal muscle attachments.

A right-angled clamp elevates the anterior scalene, protecting the subclavian artery before muscle division.

A right-angled clamp elevates the anterior scalene, protecting the subclavian artery before muscle division.

A bone cutter divides the first rib, and a rongeur smooths the edges.

A bone cutter divides the first rib, and a rongeur smooths the edges.

Thoracic outlet anatomy viewed through a transaxillary approach, with inset showing normal anatomic relationships.A periosteal elevator dissects the first rib to divide intercostal muscle attachments.A right-angled clamp elevates the anterior scalene, protecting the subclavian artery before muscle division.A bone cutter divides the first rib, and a rongeur smooths the edges.

Collaborating closely with Dr. Elliot Chaikof and chapter editors, Mike created nearly 250 illustrations for the acclaimed Atlas of Vascular Surgery and Endovascular Therapy: Anatomy and Technique. Teaming up once again with Dr. Chaikof in 2022, Mike recently completed illustrations for the atlas’s second edition.

© Mike de la Flor. All Rights Reserved.

Atlas of Vascular Surgery and Endovascular Therapy

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