American Journal of Medical Case Reports
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American Journal of Medical Case Reports. 2016, 4(9), 315-318
DOI: 10.12691/ajmcr-4-9-6
Open AccessCase Report

Paget-Schroetter: Primary Axillo-subclavian Vein Thrombosis in a Young Patient

Cesar Gentille1, , Michael Arriaga1 and Christopher Peckins1

1Department of Internal Medicine, Houston Methodist Hospital, Houston, Texas, United States of America

Pub. Date: October 20, 2016

Cite this paper:
Cesar Gentille, Michael Arriaga and Christopher Peckins. Paget-Schroetter: Primary Axillo-subclavian Vein Thrombosis in a Young Patient. American Journal of Medical Case Reports. 2016; 4(9):315-318. doi: 10.12691/ajmcr-4-9-6

Abstract

Upper extremity (UE) deep venous thrombosis (DVT) is much less common than lower extremity DVT. Primary UE DVT, that which occurs in the absence of known risk factors is quite rare. We present a case of Paget-Schroetter Syndrome (PSS) also known as “Effort Thrombosis,” in a healthy young woman likely brought on by thoracic outlet syndrome (TOS). Our patient developed an UE DVT with minimal symptoms. Ultrasound, and then angiogram demonstrated a dense, long clot in the axillo-subclavian vein. Symptoms improved after catheter-directed thrombolysis although it was only partially successful. A narrowed region of the subclavian vein persists where it exits the thoracic outlet. Clinicians need to be aware of the unusual diagnosis as treatment can improve symptoms and facilitate recovery.

Keywords:
venous thrombosis thrombolysis

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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