title: Effort thrombosis of the upper extremity in a young sportsman: Paget-Schroetter syndrome.
abstract: Paget-Schroetter syndrome is the spontaneous thrombosis of the axillary/subclavian vein. A 16-year-old male presented with acute onset of right upper limb swelling after vigorous weight training. A venogram confirmed the diagnosis of Paget-Schroetter syndrome. He was started on intravenous thrombolytics followed by oral anticoagulation therapy. His symptoms resolved and he was symptom free at six-month follow-up. Thrombolytics and anticoagulation is the most widely accepted first-line therapy for this syndrome. Defining any anatomical anomaly as the predisposing factor in this condition is essential in the selection of which patients will benefit from thoracic outlet decompression.
authors.affiliation: Department of Vascular Surgery, St Vincent's Hospital, Dublin 4, Ireland. grnagle@rcsi.ie
authors.forename: Graham
authors.initials: G
authors.lastname: Roche-Nagle
authors.forename: Ronan
authors.initials: R
authors.lastname: Ryan
authors.forename: Mary
authors.initials: M
authors.lastname: Barry
authors.forename: David
authors.initials: D
authors.lastname: Brophy
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D001367:Axillary Vein; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010690:Phlebography; D018570:Risk Assessment; D013350:Subclavian Vein; D013577:Syndrome; D015912:Thrombolytic Therapy / Q000379:methods*; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D034941:Upper Extremity / Q000098:blood supply; D020246:Venous Thrombosis / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology*; D014891:Weight Lifting