A case report on 2 unique presentations of upper extremity deep vein thrombosis.

MedStar author(s):
Citation: Medicine. 97(11):e9944, 2018 MarPMID: 29538219Institution: Medstar Franklin Square Medical CenterDepartment: MedicineForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: IN PROCESS -- NOT YET INDEXEDYear: 2018Local holdings: Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006ISSN:
  • 0025-7974
Name of journal: MedicineAbstract: DIAGNOSES: Venous TOS.INTERVENTIONS: One patient was initially treated conservatively but had a recurrent UEDVT. The second patient had a residual stump from a prior rib resection that was causing compression on the subclavian vein, resulting in recurrent venous symptoms.LESSONS: UEDVTs can be debilitating, and may limit activities of daily living. Surgical decompression may offer significant improvement in quality of life and symptom relief in such patients.OUTCOMES: Both patients achieved significant improvement in their symptoms at 1 year follow-up.PATIENT CONCERNS: We report two cases of UEDVT secondary to venous TOS with important clinical presentations.RATIONALE: Thoracic outlet syndrome (TOS) is a rare cause of upper extremity deep vein thrombosis (UEDVT). The treatment usually involves catheter directed thrombolysis followed by systemic anticoagulation. Surgical decompression is frequently recommended after anticoagulation for definitive therapy.All authors: Braunstein E, Lum YW, Sharma A, Streiff MB, Yunce MFiscal year: FY2018Digital Object Identifier: Date added to catalog: 2018-04-19
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Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 29538219 Available 29538219

Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006

DIAGNOSES: Venous TOS.

INTERVENTIONS: One patient was initially treated conservatively but had a recurrent UEDVT. The second patient had a residual stump from a prior rib resection that was causing compression on the subclavian vein, resulting in recurrent venous symptoms.

LESSONS: UEDVTs can be debilitating, and may limit activities of daily living. Surgical decompression may offer significant improvement in quality of life and symptom relief in such patients.

OUTCOMES: Both patients achieved significant improvement in their symptoms at 1 year follow-up.

PATIENT CONCERNS: We report two cases of UEDVT secondary to venous TOS with important clinical presentations.

RATIONALE: Thoracic outlet syndrome (TOS) is a rare cause of upper extremity deep vein thrombosis (UEDVT). The treatment usually involves catheter directed thrombolysis followed by systemic anticoagulation. Surgical decompression is frequently recommended after anticoagulation for definitive therapy.

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