scholarly journals Bilateral Upper Extremity DVT in a 43-Year-Old Man: Is It Thoracic Outlet Syndrome?!

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Hadoun Jabri ◽  
Sarbajit Mukherjee ◽  
Devang Sanghavi ◽  
Shyam Chalise
Keyword(s):  
Upper Extremity ◽  
Subclavian Vein ◽  
Thoracic Outlet Syndrome ◽  
Rare Condition ◽  
Surgical Decompression ◽  
Upper Extremities ◽  
Vein Thrombosis ◽  
First Case ◽  
Arm Swelling ◽  
Deep Vein

Recurrent deep venous thrombosis, involving bilateral upper extremities, is an extremely rare phenomenon. We are presenting a 43-year-old man who was diagnosed with left upper extremity deep vein thrombosis (UEDVT) and was treated with anticoagulation and surgical decompression in 2004. 9 years later, he presented with right arm swelling and was diagnosed with right UEDVT using US venous Doppler. Venogram showed compression of the subclavian vein by the first rib, diagnosing thoracic outlet syndrome (TOS). He was treated with anticoagulation and local venolysis and later by surgical decompression of the subclavian vein. Bilateral UEDVT, as mentioned above, is an extremely rare condition that is uncommonly caused by TOS. To our knowledge, we are reporting the first case of bilateral UEDVT due to TOS. Diagnosis usually starts with US venous Doppler to detect the thrombosis, followed by the gold standard venogram to locate the area of obstruction and lyse the thrombus if needed. The ultimate treatment for TOS remains surgical decompression of the vascular bundle at the thoracic outlet.

The treatment of upper extremities deep vein thrombosis related to thoracic outlet syndrome with direct oral anticoagulants

2020 ◽  
pp. 026835552096751
Author(s):  
Luciano Fiori ◽  
Alessandra Serrao ◽  
Antonietta Ferretti ◽  
Antonio Chistolini
Keyword(s):  
Deep Vein Thrombosis ◽  
Subclavian Vein ◽  
Thoracic Outlet Syndrome ◽  
Oral Anticoagulants ◽  
Direct Oral Anticoagulants ◽  
Upper Extremities ◽  
Vein Thrombosis ◽  
Endovascular Approach ◽  
Optimal Approach ◽  
Deep Vein

Venous thoracic outlet syndrome (VTOS) is a manifestation of venous symptoms that occurs when the subclavian vein is compressed and it may present clinically with acute venous thrombosis of the axillo-subclavian vein. Evidence for the optimal approach to the management of this condition is sparse and actually anticoagulation alone is not considered an option. Herein we reported our experience with direct oral anticoagulants in patients with upper extremities deep vein thrombosis, due to VTOS, who refused endovascular approach or surgery.

A RIETE registry analysis of patients with upper extremity deep vein thrombosis and thoracic outlet syndrome

2022 ◽  
Author(s):  
Vladimir Rosa ◽  
Cassius Iyad Ochoa Chaar ◽  
Olivier Espitia ◽  
Sonia Otalora ◽  
Luciano López-Jiménez ◽  
...  
Keyword(s):  
Deep Vein Thrombosis ◽  
Upper Extremity ◽  
Thoracic Outlet Syndrome ◽  
Vein Thrombosis ◽  
Deep Vein ◽  
Registry Analysis

scholarly journals Upper extremity deep vein thrombosis in an informal porter

2020 ◽  
Vol 39 (3) ◽  
pp. 207
Author(s):  
Dewi S. Soemarko ◽  
Herlinah Herlinah
Keyword(s):  
Deep Vein Thrombosis ◽  
Upper Extremity ◽  
Rare Condition ◽  
Predisposing Factor ◽  
Manual Lifting ◽  
Vein Thrombosis ◽  
Medicine Physician ◽  
The Right ◽  
Deep Vein

Background<br />Upper extremity deep vein thrombosis (UEDVT) is a rare condition, in which job-related arm movements and repetitive, forceful or overhead arm activities have been recognized as the predisposing factor for this condition. UEDVT can occur among informal porters. This report describes a case of UEDVT in an informal porter due to manual lifting of heavy goods and reviews the literature for occupational reports of this condition.<br /><br />Case description<br />A 35-year-old male informal porter presented with marked swelling, pain, and numbness of his right arm 3 days after a prolonged episode of lifting heavy goods. A Doppler ultrasound showed thrombosis in the right subclavian and axillary veins and laboratory tests found elevated D-dimer. Patient was diagnosed as having axillo-subclavian thrombosis and treated with low molecular-weight heparin. One month after the last follow-up, patient returned to work with modified capacity and after 3 months of return to work, patient was able to resume his regular duties without impairment or disability.<br /><br />Conclusion<br />The occupation of informal porter should be considered a risk factor for upper extremity deep vein thrombosis (UEDVT), thus the occupational medicine physician should be aware of this condition in the context of manual workers. Detailed occupational history to aid the diagnosis and future risk assessment are needed, and education for preventing UEDVT should be provided to porters.

Percutaneous Mechanical Thrombectomy for the Management of Venous Thoracic Outlet Syndrome

2003 ◽  
Vol 10 (2) ◽  
pp. 336-340 ◽  
Author(s):  
Darren B. Schneider ◽  
Thomas K. Curry ◽  
Charles M. Eichler ◽  
Louis M. Messina ◽  
Roy L. Gordon ◽  
...  
Keyword(s):  
Case Report ◽  
Thrombolytic Therapy ◽  
Subclavian Vein ◽  
Thoracic Outlet Syndrome ◽  
Mechanical Thrombectomy ◽  
Recurrent Thrombosis ◽  
Percutaneous Mechanical Thrombectomy ◽  
Vein Thrombosis ◽  
Subclavian Vein Thrombosis ◽  
Arm Swelling

Purpose: To describe the successful use of percutaneous mechanical thrombectomy as an adjunct to thrombolysis for acute subclavian vein thrombosis due to venous thoracic outlet syndrome Case Report: A 40-year-old man presented with arm swelling due to acute subclavian vein thrombosis and venous thoracic outlet syndrome. Percutaneous mechanical thrombectomy with the AngioJet device and thrombolysis were used to restore venous patency. Immediately following operative thoracic outlet decompression, the patient experienced rethrombosis, which was successfully treated using percutaneous mechanical thrombectomy. After 6 months, the patient remains symptom-free, with a patent subclavian vein by duplex ultrasonography. Conclusions: Thrombus debulking or removal with percutaneous mechanical thrombectomy devices may reduce the amount or duration of thrombolytic therapy required, making treatment of venous thoracic outlet syndrome safer. Moreover, patients with recurrent thrombosis after thoracic outlet decompression may be safely treated with percutaneous mechanical thrombectomy, even when thrombolytic therapy is contraindicated.

Primary upper extremity deep vein thrombosis (effort thrombosis)

2021 ◽  
Vol 20 (2) ◽  
pp. 151-154
Author(s):  
SM Ramadan ◽  
◽  
EV Kasfiki ◽  
CWP Kelly ◽  
I Ali ◽  
...  
Keyword(s):  
Deep Vein Thrombosis ◽  
Upper Extremity ◽  
Treatment Options ◽  
Young Male ◽  
Healthy Male ◽  
Vein Thrombosis ◽  
Effort Thrombosis ◽  
Arm Swelling ◽  
Uncommon Condition ◽  
Deep Vein

Primary spontaneous upper extremity deep vein thrombosis is characterised by thrombosis within deep veins draining the upper extremity due to anatomical abnormalities of the thoracic outlet causing axillosubclavian compression and subsequent thrombosis. It is an uncommon condition that typically presents with unilateral arm swelling in a young male following vigorous upper extremity activity. The diagnosis of this condition is usually made by Doppler ultrasound, but other investigations are mandatory to exclude the secondary causes of upper extremity DVT. Different treatment options are available including anticoagulation, thrombolysis, and surgery. We report the case of a young healthy male with athletic physique who presented with pain and swelling of his dominant arm after weightlifting in the gym.

Chronic Thromboembolic Pulmonary Hypertension Due to Upper-Extremity Deep Vein Thrombosis Caused Thoracic Outlet Syndrome

2012 ◽  
Vol 48 (2) ◽  
pp. 61-63
Author(s):  
Marta Ferrer Galván ◽  
Luis Jara Palomares ◽  
Candela Caballero Eraso ◽  
José Luis López Villalobos ◽  
Teresa Elías Hernández ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Deep Vein Thrombosis ◽  
Upper Extremity ◽  
Thoracic Outlet Syndrome ◽  
Chronic Thromboembolic Pulmonary Hypertension ◽  
Vein Thrombosis ◽  
Thromboembolic Pulmonary Hypertension ◽  
Deep Vein

scholarly journals Recurrent Upper Extremity Thrombosis Associated with Overactivity: A Case of Delayed Diagnosis of Paget-Schroetter Syndrome

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Himani Sharma ◽  
Abhinav Tiwari
Keyword(s):  
Upper Extremity ◽  
Subclavian Vein ◽  
Delayed Diagnosis ◽  
Surgical Decompression ◽  
Upper Extremities ◽  
Coagulation Cascade ◽  
First Episode ◽  
Occupational History ◽  
External Compression

Paget-Schroetter syndrome is thrombosis of the axillary-subclavian vein that is associated with strenuous and repetitive activity of the upper extremities. Overuse of the arm coupled with external compression results in microtrauma in the intima of the subclavian vein, resulting in the activation of the coagulation cascade. Diagnosis is usually made by Doppler ultrasound and the treatment involves thrombolysis, while routine surgical decompression of the thoracic outlet is controversial. In this report, we present a case of a patient who presented with a second episode of spontaneous right upper extremity deep venous thrombosis. The first episode was inadequately treated with oral anticoagulation alone. During the second episode, Paget-Schroetter syndrome was diagnosed, after careful review of his occupational history. He subsequently underwent angioplasty and decompression of thoracic outlet with no recurrence of thrombosis in a 12-month follow-up period.

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