Key result
Anticoagulation and surgical thoracic outlet syndrome decompression successfully treated a young orchestra conductor with primary upper extremity deep vein thrombosis, without recurrent thrombosis.
Why the study?
Upper extremity deep vein thrombosis of the axillary/subclavian veins is rare and can be delayed in diagnosis due to subtle symptoms and concomitant injuries.
Case Report (n=1)
Answers are grounded in this paper and cite their sources.
Concomitant musculo-tendinous injury can delay the diagnosis of upper extremity DVT, which can be successfully managed with anticoagulation and surgical TOS decompression.
Upper extremity deep vein thrombosis (DVT) of the axillary/subclavian veins is rare (5-10% of DVT). After clinical suspicion and duplex ultrasound, anticoagulation, surgical decompression and sometimes thrombolysis are mandatory due to complications. We discuss the case of a young healthy orchestra conductor with primary DVT of the left upper extremity and concomitant left shoulder musculo-tendinous traumatic injury. Symptoms of both conditions and subtle signs of upper extremity DVT delayed the diagnosis until full-blown DVT occurred. After successful anticoagulation and surgical TOS (thoracic outlet syndrome) decompression, evolution was favorable, without recurrent thrombosis.
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Lungu et al. (2024) conducted a case report in Upper extremity deep vein thrombosis (n=1). Anticoagulation and surgical TOS decompression was evaluated on Evolution and recurrent thrombosis. Anticoagulation and surgical thoracic outlet syndrome decompression successfully treated a young orchestra conductor with primary upper extremity deep vein thrombosis, without recurrent thrombosis.
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