A case report on 2 unique presentations of upper extremity deep vein thrombosis.
- 2018
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.