A 24-year-old man was presented to our hospital with edema on the left upper-extremity. Left upper-extremity venography demonstrated obstruction of the left axillary to subclavian vein and poor ipsilateral collateral superficial vein. Heparin therapy was started, and subsequently replaced with warfarin therapy. The venography showed antegrade axillary and subclavian venous stream with residual stenosis and good collateral superficial vein after 6 months. Although the precise trigger of thrombosis was undetermined in our patient, Paget-Schroetter syndrome was considered as an appropriate diagnosis. This disorder is always kept in mind if a young healthy man has the upper-extremity edema without obvious triggers.
Tetsuo Ichinose, Hiroshige Yuu, Yuki Yokomatsu, Miki Yamase, An Anticoagulant Therapy for Primary Left Upper-Extremity Deep Vein Thrombosis (Paget-Schroetter Syndrome): A Case Report Journal of the Hong Kong College of Cardiology 2009;17(1) https://doi.org/10.55503/2790-6744.1088
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