open access

Vol 11, No 2 (2009)
Aktualności
Published online: 2010-03-24
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Giant free-floating thrombus of the right brachio-cephalic vein in patient with Paget-Schrötter syndrome

Ryszard Walas, Mieczysław Grodowski, Rafał Boczej, Marek Motyka
Chirurgia Polska 2009;11(2):66-70.

open access

Vol 11, No 2 (2009)
Aktualności
Published online: 2010-03-24

Abstract

Giant free-floating thrombus in brachiocephalic vein is a rare, life-threatening complication in patients with Paget-Schrötter syndrome (PSS). We report a case of a 21-year-old body builder who was admitted to our department with a 6 days history of pain and swelling in the right upper extremity. Color Doppler ultrasonography diagnosed thrombosis of the right subclavian vein with free-floating, giant thrombus in right brachiocephalic vein. Vena cava superior filter deployment followed by catheter-direct thrombolysis and surgical decompression of the subclavian vein with the first rib resection was performed. We present the preoperative work-up and successful treatment of this unusual case, to our knowledge, never reported before.

Abstract

Giant free-floating thrombus in brachiocephalic vein is a rare, life-threatening complication in patients with Paget-Schrötter syndrome (PSS). We report a case of a 21-year-old body builder who was admitted to our department with a 6 days history of pain and swelling in the right upper extremity. Color Doppler ultrasonography diagnosed thrombosis of the right subclavian vein with free-floating, giant thrombus in right brachiocephalic vein. Vena cava superior filter deployment followed by catheter-direct thrombolysis and surgical decompression of the subclavian vein with the first rib resection was performed. We present the preoperative work-up and successful treatment of this unusual case, to our knowledge, never reported before.
Get Citation

Keywords

Paget-Schrötter syndrome; upper extremity deep venous thrombosis

About this article
Title

Giant free-floating thrombus of the right brachio-cephalic vein in patient with Paget-Schrötter syndrome

Journal

Chirurgia Polska (Polish Surgery)

Issue

Vol 11, No 2 (2009)

Pages

66-70

Published online

2010-03-24

Bibliographic record

Chirurgia Polska 2009;11(2):66-70.

Keywords

Paget-Schrötter syndrome
upper extremity deep venous thrombosis

Authors

Ryszard Walas
Mieczysław Grodowski
Rafał Boczej
Marek Motyka

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