Effort thrombosis of the upper extremity in a young sportsman: Paget-Schroetter syndrome.
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.
Roche-Nagle
Graham
G
Department of Vascular Surgery, St Vincent's Hospital, Dublin 4, Ireland. grnagle@rcsi.ie
Ryan
Ronan
R
Barry
Mary
M
Brophy
David
D
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