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3±4.9 days) revealed resolution of symptoms in all patients, with patent vasculature on venogram for the entire venous TOS cohort. Further follow-up at two months and six months revealed that all patients remained symptom free. Conclusions Based on our institution's experience with the robotic-assisted approach to first rib resection, we feel that it is a feasible approach that could be added to the armamentarium of the thoracic surgeon.Background Fragile X syndrome (FXS) is a monogenic disorder and a common cause of intellectual disab