Abstract

Venous complications of thoracic outlet obstruction are frequently the result of acute axillosubclavian vein thrombosis, leading to symptoms consistent with venous claudication, including pain, swelling, and cyanotic discoloration. Nonthrombotic subclavian vein obstruction, however, is an uncommon cause of veno-occlusive symptoms. We report the case of a patient who, while running, developed pain consistent with venous claudication in her left arm and subsequently in her right arm. Clinical and hemodynamic evaluation revealed nonthrombotic subclavian vein obstruction, which was relieved by thoracic outlet decompression following first rib resection.

Links

Publisher Full Text

Authors

Thakur S, Comerota AJ

Institution

Jobst Vascular Center, The Toledo Hospital, Toledo, Ohio 43606, USA.

Source

Journal of vascular surgery : official publication, the Society for Vascular Surgery [and] International Society for Cardiovascular Surgery, North American Chapter 52:1 2010 Jul pg 208-11

MeSH

Adult
Angioplasty, Balloon
Constriction, Pathologic
Decompression, Surgical
Exercise
Female
Humans
Intermittent Claudication
Phlebography
Ribs
Running
Subclavian Steal Syndrome
Subclavian Vein
Thoracic Outlet Syndrome
Treatment Outcome
Upper Extremity

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

20434295