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