2014/01/01 by Hadoun Jabri, Sarbajit Mukherjee, Devang Sanghavi +1 · 1 citation
Medicine · #Venous Thromboembolism Diagnosis and Management #Vascular anomalies and interventions #Cardiac Arrhythmias and Treatments #Medicine #Thoracic outlet syndrome #Thoracic outlet #Thrombus #Surgery #Venous thrombosis #Subclavian vein #Decompression #Thrombosis #Radiology
paper · pdf · doi:10.1155/2014/758010
openalex publication_date 2014/01/01 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/23
Recurrent deep venous thrombosis, involving bilateral upper extremities, is an extremely rare phenomenon. We are presenting a 43-year-old man who was diagnosed with left upper extremity deep vein thrombosis (UEDVT) and was treated with anticoagulation and surgical decompression in 2004. 9 years later, he presented with right arm swelling and was diagnosed with right UEDVT using US venous Doppler. Venogram showed compression of the subclavian vein by the first rib, diagnosing thoracic outlet syndrome (TOS). He was treated with anticoagulation and local venolysis and later by surgical decompression of the subclavian vein. Bilateral UEDVT, as mentioned above, is an extremely rare condition that is uncommonly caused by TOS. To our knowledge, we are reporting the first case of bilateral UEDVT due to TOS. Diagnosis usually starts with US venous Doppler to detect the thrombosis, followed by the gold standard venogram to locate the area of obstruction and lyse the thrombus if needed. The ultimate treatment for TOS remains surgical decompression of the vascular bundle at the thoracic outlet.