2008 Volume 28 Issue 5 Pages 796-800
A 22-year-old man experienced frequent swelling of the left arm. Further examination revealed a blood clot in the left subclavian vein, which was diagnosed as thoracic outlet syndrome. We started treatment with intravenous thrombolytics followed by oral anticoagulation agents. Because of the recurrence of thromboembolism, we planned a radical cure and performed resection of the first rib. During the perioperative period, we faced difficulty in judging the best method to prevent venous thromboembolism. Finally, the patient was discharged from the hospital without any perioperative complications. Japanese Guidelines for Prevention of Venous Thromboembolism do not mention any measures for secondary prevention of thrombosis during the perioperative episode of thromboembolism. Further studies are necessary in the future in this regard.
