2012, Number 4
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Rev Med MD 2012; 3.4 (4)
Paget-Shroetter syndrome. Case report
Torres-Alcalá F, Bautista-González S, Estrella-Sánchez A, Guzmán-Chávez OR, Sandoval-Vírgen FG
Language: Spanish
References: 10
Page: 230-234
PDF size: 709.57 Kb.
ABSTRACT
We present the case of a patient who attends presenting mild pain, edema, hyperemia, hyperthermia, tiredness and thoracic
member heaviness, with history of heavy lighting exercise. Subclavian vein thrombosis was confirmed through a venous USG
Doppler and phlebography, the treatment started with heparin and acenocumarin, and the patient underwent a extraction of the
first rib 30 days after the beginning of the clinical picture, presenting proper evolution. The Paget-Schoetter syndrome (PSS) is
an effort underarm or subclavia caused thrombosis, in young healthy patients without pathological history. It presents due to
repetitive activity of the upper extremities, which is why causes microtrauma to the vascular intima and having the thrombus
formation. The clinical picture includes pain, edema, paleness, marble-like skin and venous distension and phlebography. The
treatment consists on thrombosis and/or early anti-clotting, as well as surgical recession of the first thoraxic cage rib.
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