British Journal of Sports Medicine 2007;41:540-541
CASE REPORT
Effort thrombosis of the upper extremity in a young sportsman: Paget–Schroetter syndrome
1 St Vincent’s Hospital, Dublin, Ireland
Correspondence to:
MrG Roche-Nagle
Department of Vascular Surgery, St Vincent’s Hospital, Merrion Road, Dublin 4, Ireland; grnagle{at}rcsi.ie
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.
Abbreviations: UEDVT, upper extremity deep vein thrombosis
COMMENTARY
2 Clinical Director, Emergency Medicine, Royal Victoria Hospital, Belfast, UK; laurence.rocke{at}royalhospitals.n-i.nhs.uk
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