Regarding our article [1], I agree that a coordinated approach by the orthopedic and vascular surgeons would have been the definitive treatment. The patient and her family decided on conservative management at that time, in view of her age, and orthopedic surgery at a later date. She had numbness of the left upper limb, suggesting involvement of the brachial plexus but this did not limit her daily activities of life. She was lost to follow-up. She is now in UK. In a telephonic conversation her relatives abroad reported that she is doing well and does not want to undergo orthopedic surgery for her limb.