Paget-Schroetter syndrome: the importance of early detection and effective surgical intervention

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Vol3Nr4Y2023
Published Dec 21, 2023
DOI: https://doi.org/10.22551/2023.41.1004.10275
Sofija Pejkova http://orcid.org/0000-0002-6833-7078 Darko Aleksovski http://orcid.org/0009-0002-8075-1586 Sara Hadjitrifon http://orcid.org/0009-0004-5917-7166 Sofija Tusheva http://orcid.org/0000-0001-8275-5260 Gordana Georgieva http://orcid.org/0000-0001-7779-5647 Blagoja Srbov http://orcid.org/0000-0001-8602-6313 Oskar C. Aszmann http://orcid.org/0000-0001-5530-726X

Abstract

Paget-Schroetter syndrome (PSS) is relatively rare condition of thoracic outlet syndrome characterized by thrombosis or blood clot formation in the subclavian vein. Due to the non-specific symptoms and low incidence rate, PSS is frequently missed by medical professionals, and as such it often leads to wrong diagnosis and untreated patients. We present the case of a 30-year-old CrossFit trainer who developed a thrombosis of the subclavian vein. Initially, the patient consulted an internist after experiencing swelling in the right shoulder region and discoloration of the right upper extremity. Angiography revealed occlusion of the subclavian vein and anticoagulant therapy was prescribed. For more than a year, the patient's symptoms remained unchanged, and the subclavian vein occlusion persisted. Venography suspected effort thrombosis of the subclavian vein. The patient underwent surgery for decompression of the subclavian vein. After six months, results from post-operative computed tomography angiography showed that venous flow was fully restored and no pathology of the venous vessel wall could be demonstrated. This report aims to increase awareness of PSS among medical professionals, leading to earlier diagnosis and adequate clinical-surgical management.

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Keywords

Paget-Schroetter syndrome, thoracic outlet syndrome, effort thrombosis, subclavian vein thrombosis, subclavius muscle resection

References
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How to Cite
Pejkova, S., Aleksovski, D., Hadjitrifon, S., Tusheva, S., Georgieva, G., Srbov, B., & Aszmann, O. C. (2023). Paget-Schroetter syndrome: the importance of early detection and effective surgical intervention. Archive of Clinical Cases, 10(4), Arch Clin Cases. 2023;10(4):200-204. https://doi.org/10.22551/2023.41.1004.10275
Issue
Vol. 10 No. 4 (2023)
Section
Case Reports

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How to Cite

Pejkova, S., Aleksovski, D., Hadjitrifon, S., Tusheva, S., Georgieva, G., Srbov, B., & Aszmann, O. C. (2023). Paget-Schroetter syndrome: the importance of early detection and effective surgical intervention. Archive of Clinical Cases, 10(4), Arch Clin Cases. 2023;10(4):200-204. https://doi.org/10.22551/2023.41.1004.10275