I 2nd jo55's suggestion of getting a 2nd opinion. Even if you cannot travel to one of the experts you could at least send all of your myriad of test results to an expert and see if you can get a review of your tests. But it is best of course if you could travel to see an expert TOS surgeon.

And Olecyn's statement that she had vascular & arterial compression and DID NOT need her rib removed is worth investigating. If there is a way to achieve success w/o removing the rib it is well worth finding out if this may be an effective solution for those of us with arterial and/or vascular compression!