Key result
Three young athletic persons developed thrombosis of the subclavian vein after repetitive motion of the upper extremity, resulting in life-threatening pulmonary hypertension from pulmonary emboli.
Case Report (n=3)
Highlights the rare but potentially fatal complication of severe thromboembolic pulmonary hypertension arising from effort thrombosis (Paget-Schroetter syndrome) in young athletes.
Recognize effort thrombosis as a rare cause of severe pulmonary hypertension in young athletes; case reports leave open incidence and optimal management.
Severe thromboembolic pulmonary hypertension is an infrequent but potentially fatal complication of effort thrombosis (Paget-Schroetter syndrome) of the upper extremity. It has been sporadically reported in the literature, but in most cases has affected young, otherwise healthy athletes. Because this syndrome has been rarely described, it is likely underdiagnosed, and optimal evaluation and treatment has not been established. We describe three young athletic persons who developed thrombosis of the subclavian vein after repetitive motion of the upper extremity, and in whom life-threatening pulmonary hypertension resulted from acute and chronic pulmonary emboli. We then review the mechanism, clinical presentation, diagnosis, and available therapeutic modalities.
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Meier et al. (2006) conducted a case report in Severe thromboembolic pulmonary hypertension secondary to effort thrombosis (Paget-Schroetter syndrome) (n=3). Repetitive motion of the upper extremity was evaluated on Life-threatening pulmonary hypertension from acute and chronic pulmonary emboli. Three young athletic persons developed thrombosis of the subclavian vein after repetitive motion of the upper extremity, resulting in life-threatening pulmonary hypertension from pulmonary emboli.
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