Title

Paget-Schroetter syndrome in pregnancy: A case report and discussion of management options

Document Type

Journal Article

Publication Date

3-1-2020

Journal

Journal of Vascular Surgery Cases and Innovative Techniques

Volume

6

Issue

1

DOI

10.1016/j.jvscit.2019.11.012

Keywords

DVT; Paget-Schroetter syndrome; Pregnancy; Surgery; Vascular interventions

Abstract

© 2019 The Authors Paget-Schroetter syndrome is a form of primary venous thoracic outlet syndrome whereby thrombosis of the subclavian vein is instigated by repeated and vigorous overhead activity of the arm. We describe a 35-year-old pregnant white woman at 8 weeks' gestation, a competitive swimmer by profession, who was diagnosed with a left upper extremity thrombus. First rib resection through an infraclavicular approach was performed 1 week after percutaneous pharmacomechanical thrombectomy. Repeated venography demonstrated residual thrombus requiring percutaneous pharmacomechanical thrombectomy with balloon venoplasty. We present a challenging case with focus on the unique diagnostic evaluation and management of pregnant patients with this condition.

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