Multiple pulmonary emboli with pulmonary hypertension caused by effort thrombosis and effective balloon venoplasty of the subclavian vein.
A 36-year-old woman with effort thrombosis of the subclavian vein associated with multiple pulmonary emboli was successfully treated with local thrombolysis of the subclavian vein using a pulse-spray catheter and systemic anticoagulation. Balloon venoplasty of the residual stenosis of subclavian vein was carried out and in follow-up venography 6 months later, there was no restenosis, and the patient has been asymptomatic for 12 months. Pulmonary embolism is not a rare complication of upper extremity deep vein thrombosis and should be managed as aggressively as lower extremity deep vein thrombosis.
Isaka
N
N
First Department of Internal Medicine, Mie University School of Medicine, Japan. isaka@clin.medic.mie-u.ac.jp
Yamada
N
N
Araki
S
S
Onishi
K
K
Motoyasu
M
M
Okinaka
T
T
Ito
M
M
Nakano
T
T
D000328:Adult; D000800:Angioplasty, Balloon; D000925:Anticoagulants / Q000008:administration & dosage; D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology*; D011655:Pulmonary Embolism / Q000175:diagnosis / Q000209:etiology*; D011666:Pulmonary Valve Stenosis; D013350:Subclavian Vein / Q000473:pathology; D015912:Thrombolytic Therapy; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage; D020246:Venous Thrombosis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*
D000925:Anticoagulants; D014568:Urokinase-Type Plasminogen Activator