Key result
A former water polo player with non-traumatic right subclavian vein thrombosis was successfully treated with anticoagulation and thrombolysis, returning to usual daily activities after six months.
Case Report (n=1)
Early diagnosis and treatment of subclavian vein thrombosis in former athletes is important to avoid complications and occupational disability.
May support thrombolysis plus anticoagulation for non-traumatic subclavian thrombosis in former athletes; leaves open need for prospective confirmation.
We reported a case of a former water polo player who suffered from a non-traumatic right subclavian vein thrombosis. An otherwise healthy former athlete developed thrombosis of the right subclavian vein. He presented with swelling of his right arm. Diagnosis was made by colour doppler ultrasonography. He received low molecular weight heparin as initial treatment followed by thrombolytic therapy with alteplase and heparin infusion. He continued with outpatient anticoagulant therapy for six months before returning to usual daily activities. There is no evidence or report on the time length after ending of an athletic pursuit that would predispose to the formation of subclavian vein thrombosis. Early diagnosis and treatment of patients with subclavian vein thrombosis is important in order to avoid complications, occupational disability and the adverse impact on the patient's quality of life.
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Sorić et al. (2017) conducted a case report in Non-traumatic right subclavian vein thrombosis (n=1). Low molecular weight heparin, alteplase, and heparin infusion was evaluated. A former water polo player with non-traumatic right subclavian vein thrombosis was successfully treated with anticoagulation and thrombolysis, returning to usual daily activities after six months.
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