A Case Report of a Primary Subclavian Vein Thrombosis

Abstract

Young healthy people sometimes suffer from Paget-Schroetter syndrome, which is a relatively rare condition that has been associated with a controversial treatment strategy. This case report presents a male patient in his 40’s, who visited our hospital because of sudden swelling of the right arm. Thrombosis of the right subclavian vein was detected by ultrasound and enhanced computed tomography. Transcatheter thrombectomy and thrombolysis were performed. The patient was diagnosed with Paget-Schroetter syndrome and, subsequently, underwent surgery. Using a subclavicular approach, the first right rib, costoclavicular ligament, and anterior scalene muscles were resected, and intraoperative venography revealed stenosis. Subsequently, the manubrium of the sternum was divided into an L-shape incision and a vein patch was performed. The patient showed an excellent postoperative course that required only 8 weeks of anticoagulation treatment. No recurrence was reported 6 months after surgery.