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I have been diagnosed with TOS possibly due to carrying a heavy car battery but also I have been a swimmer for 25 years. I am 55 years old and very active (gardening, home repair etc.) and want to continue my lifestyle. I need feedback on the rib removal surgery because I've heard that angioplasty is not a permanent cure. I want to get off coumadin which I've been on for 7 months. I still have discomfort after I swim or do physical work with my left arm. Any recommendations for surgeons in the Central New Jersey/NYC/Philadelphia area? thanks!