keyword
https://read.qxmd.com/read/35689965/imaging-to-intervention-thoracic-outlet-syndrome
#21
REVIEW
Yijin Huang, Matthew Abad-Santos, Ramesh S Iyer, Eric J Monroe, Christopher D Malone
Thoracic outlet syndrome (TOS) is a clinical disorder resulting from compression of the neurovascular bundle of the lower neck and upper chest. TOS can be categorized into neurogenic, venous, and arterial subtypes which result from anatomical compression of the brachial plexus, subclavian vein, and subclavian artery, respectively. This can lead to neurogenic pain as well as vascular injury with thrombosis and thromboembolism. Interventional and diagnostic radiologists play a critical role in the imaging diagnosis and treatment of vascular TOS...
June 8, 2022: Clinical Imaging
https://read.qxmd.com/read/35614615/isolated-internal-jugular-and-subclavian-vein-thrombosis-a-rare-complication-of-pancreatitis-a-case-report
#22
Qurrat Al Ain Atif, Adel Hamed
Splanchnic vein thromboses are well recognized vascular complications of acute as well as chronic pancreatitis. Extra splanchnic thromboses have rarely been reported. One such case of a 41-year-old Pakistani male patient who developed acute alcoholic pancreatitis is presented. On further workup he was found to have bilateral internal jugular and subclavian vein thrombosis with patent splanchnic veins. Pancreatitis generally creates a procoagulant state in the body. Moreover, the inflammatory process itself along with compression from peri-pancreatic fluid collections cause injury to the nearby vessels resulting in vascular complications...
April 2022: JPMA. the Journal of the Pakistan Medical Association
https://read.qxmd.com/read/35315422/forgotten-chemo-port-leading-to-chylothorax-a-rare-presentation
#23
JOURNAL ARTICLE
Pradeep Bajad, Avinash B, Naveen Dutt, Ram Niwas, Pawan Kumar Garg, Pushpinder Khera, Nishant Kumar Chauhan
Chylothorax is an uncommon cause of pleural effusion in routine clinical practice. Thoracic surgery, trauma and malignancy are the leading causes of chylothorax accounting for more than 90% of cases.1,2 We report this rare case of a middle aged lady with treated carcinoma breast who presented with left-sided chylothorax secondary to subclavian vein and superior vena cava thrombosis caused by a longstanding indwelling chemo-port in the right internal jugular vein. Patient was managed on total parenteral nutrition (TPN) leading to complete resolution of chylothorax...
March 14, 2022: Acta Bio-medica: Atenei Parmensis
https://read.qxmd.com/read/35101717/paget-schroetter-syndrome-in-an-active-young-female-after-unsupervised-exercise
#24
JOURNAL ARTICLE
Santiago A Endara, Gerardo A Dávalos, Christian H Fierro, R Alejandra Montero, Gabriel A Molina
INTRODUCTION AND IMPORTANCE: Thoracic outlet syndrome (TOS) is a rare syndrome caused by compression of one of the three neurovascular structures in their passage from the cervical area toward the axilla and proximal arm either at the interscalene triangle, the costoclavicular triangle, or the sub coracoid space. The mainstay of management is nonsurgical; however, surgery may be needed when patients persist with symptoms despite conservative management and when vascular structures are involved...
February 2022: International Journal of Surgery Case Reports
https://read.qxmd.com/read/34930589/venous-thoracic-outlet-syndrome-and-paget-schroetter-syndrome
#25
JOURNAL ARTICLE
Biren P Modi, Rush Chewning, Riten Kumar
Venous thoracic outlet syndrome represents a relatively rare but important diagnosis in the adolescent population with increasing recognition. Compression of the subclavian vein within the costoclavicular space can lead to episodic venous outlet obstruction in the upper extremity, with edema, rubor and functional symptoms. Over time, cumulative injury and compression can lead to thrombosis of the vein, referred to as "effort thrombosis" or the Paget-Schroetter syndrome. This progression can lead to the need for acute management of the venous thromboembolism, requirement for thoracic outlet decompression surgery and the potential for long-term sequelae such as post-thrombotic syndrome...
December 2021: Seminars in Pediatric Surgery
https://read.qxmd.com/read/34888041/cervical-rib-case-series-from-a-university-hospital-of-nepal
#26
JOURNAL ARTICLE
Abhyuday Kumar Yadav, Sneha Shrestha, Suyesh Raj Shrestha, Robin Man Karmacharya, Satish Vaidya
Cervical rib is a rare anatomical anomaly with an incidence of 0.2%-1% and is an important cause of thoracic outlet syndrome. We present a case series of five female patients with a mean age of 20.6 (15-26) years, symptoms present were neck pain, neck mass, tingling sensation and weakness in the affected side. Symptoms develop in adolescence probably due to sagging of the shoulders and a disproportion between chest and neck growth at this age. X-rays of cervical spine was a common mode of diagnosis and showed bilateral cervical rib in three cases and unilateral in two cases...
December 2021: Annals of Medicine and Surgery
https://read.qxmd.com/read/34872595/pure-red-cell-aplasia-secondary-to-rheumatoid-arthritis-a-case-report
#27
JOURNAL ARTICLE
Suneth Weerasinghe, Parackrama Karunathilake, Udaya Ralapanawa, Thilak Jayalath, Shamali Abeygunawardena, Manel Rathnayaka
BACKGROUND: Rheumatoid arthritis is a common autoimmune disease with many extra-articular manifestations. Pure red cell aplasia is a rare manifestation of rheumatoid arthritis and is sparsely documented in the literature, with a variable clinical outcome following immunosuppressive therapy. CASE PRESENTATION: A 63-year-old Sinhalese female presented with transfusion-dependent anemia associated with deforming inflammatory arthritis. She also had leukopenia, right subclavian venous thrombosis, and generalized lymphadenopathy...
December 6, 2021: Journal of Medical Case Reports
https://read.qxmd.com/read/34804481/upper-limb-gangrene-due-to-a-subclavian-arterial-thrombosis-associated-with-thoracic-outlet-syndrome-following-cervical-spondylotic-amyotrophy
#28
Tsuyoshi Yamada, Toshifumi Kudo, Atsuyuki Kawabata, Toshitaka Yoshii
Thoracic outlet syndrome (TOS) refers to an abnormal compression of the subclavian vessels and the brachial plexus at the base of the neck or thoracic outlet. The authors described a novel case of a 66-year-old male with arterial TOS and unilateral upper rib dysplasia following cervical spine disease. Owing to the comorbidity of cervical spondylotic amyotrophy and a history of sloping shoulder due to rib dysplasia, TOS occurred, which subsequently led to subclavian arterial thrombosis and eventually resulted in the gangrene of the hand...
November 2021: Journal of Surgical Case Reports
https://read.qxmd.com/read/34666254/paget-von-schroetter-syndrome-case-report
#29
JOURNAL ARTICLE
Josias Torres de Siqueira Filho, Railane Lima de Paula, Arthur César Albuquerque Régis, Alberto Rubin Figueiredo, Bruno von Mühlen, João Victor Fuzeta Peres
INTRODUCTION: Paget-von Schroetter Syndrome is a rare condition, which refers to primary venous thrombosis of the subclavian-axillary bed. It is related to vigorous activities involving the upper limbs, presenting pain, edema and muscle swelling. Its diagnosis involves, besides the clinical suspicion, Doppler ultrasonography and should be performed early to ensure immediate treatment. The therapy is initially made with anticoagulation, but thrombolysis, decompression surgery, venolysis and venoplasty should be considered, which can lead to a better prognosis and lower risk of complications...
November 2021: International Journal of Surgery Case Reports
https://read.qxmd.com/read/34660091/severe-iron-deficiency-anemia-leading-to-thrombocytosis-with-arterial-and-venous-thrombosis
#30
Deepak Venugopalan Pathiyil, Renoy A Henry, Jimmy Joseph, Akash T Oomen, Jyothi Janardhanan Kakkra
A 45-year-old female who was a teacher by profession with a history of chronic asymptomatic anemia in the past presented to our hospital with complaints of intermittent fever for two weeks, cough with expectoration, dyspnea on exertion, and left upper limb edema for four days. She had a history of abdominal pain after food intake. She gave a history of having anemia for the past 23 years. Evaluation after admission showed raised inflammatory markers, marked thrombocytosis, and severe iron deficiency anemia...
September 2021: Curēus
https://read.qxmd.com/read/34660081/a-new-solution-to-a-rare-problem-of-implantable-cardiac-device-hypersensitivity
#31
Rana Al-Zakhari, Safa Aljammali, Ryan Isber, Angela Grigos, Nidal Isber
For this research, we have considered a case of a man aged 60 years who developed painless fluid accumulation in the implantable cardiac defibrillator (ICD) pocket site. The cardiovascular implantable electronic device initially appeared to be infected, but it was eventually determined that the cause was an allergic reaction, and a novel solution was implemented. For patients with nickel allergies, treatment typically includes avoiding nickel or replacing with gold-plated devices with new leads. Because of the subclavian vein thrombosis, the gold-plated generator was not replaced...
September 2021: Curēus
https://read.qxmd.com/read/34316447/emergency-service-results-of-central-venous-catheters-single-center-1042-patients-10-year-experience
#32
JOURNAL ARTICLE
Abuzer Coskun, Sakir Ömür Hıncal, Sevki Hakan Eren
BACKGROUND: Central venous catheterization is currently an important procedure in critical care. Central catheterization has important advantages in many clinical situations. It can also lead to different complications such as infection, hemorrhage, and thrombosis. It is important to investigate critically ill patients undergoing catheterization. AIM: To evaluate the characteristics, such as hospitalization, demographic characteristics, post-catheterization complications, and mortality relationships, of patients in whom a central venous catheter was placed in the emergency room...
July 9, 2021: World Journal of Critical Care Medicine
https://read.qxmd.com/read/34188739/successful-recovery-of-central-venous-catheter-fragment-from-coronary-venous-sinus-and-right-ventricle-a-case-report
#33
B G K Sudhakar, B Ravi Teja
Catheter fracture with subsequent embolization is a well known but a potentially serious late complication of central venous catheter placement. Central venous catheters are frequently implanted for the purpose of chemotherapy and parenteral nutrition. Most common vein used for the placement of central venous catheter is subclavian vein. According to case reports, catheter placed in subclavian vein is vulnerable for fracture and is often preceded by the "pinch-off sign", first described by Aikten and Minton...
August 2021: Radiology Case Reports
https://read.qxmd.com/read/33757394/surgical-considerations-in-the-treatment-of-axillary-subclavian-venous-thrombosis-in-the-era-of-covid-19
#34
JOURNAL ARTICLE
Dipankar Mukherjee, Janine Kittner
PURPOSE: Traditional treatment of axillary-subclavian venous thrombosis is resource intensive due to the need for advanced nursing care and increased utilization of intensive care units for thrombolysis procedures. We recently encountered this in the management of 2 patients with effort-induced upper extremity venous thrombosis following COVID-19 infection and offer a treatment paradigm for consideration. CASE REPORTS: A 30-year-old presented with 2 weeks of left upper extremity symptoms following COVID-19 infection...
March 24, 2021: Vascular and Endovascular Surgery
https://read.qxmd.com/read/33749370/paget-schroetter-syndrome-in-a-young-female
#35
JOURNAL ARTICLE
Vikram Sangani, Mytri Pokal, Mamtha Balla, Vijay Gayam, Venu Madhav Konala
Paget-Schroetter syndrome or effort thrombosis is a relatively rare primary spontaneous thrombosis of upper extremity deep veins secondary to entrapment of axillary subclavian veins from an abnormality of the thoracic outlet. It is commonly seen in young adults who lift heavy weights or strenuous use of the upper extremities during athletic activities. Repetitive microtrauma to the subclavian vein secondary to narrow costoclavicular space and strenuous activities leads to intimal layer inflammation, hypertrophy, fibrosis, and coagulation cascade activation...
January 2021: Journal of Investigative Medicine High Impact Case Reports
https://read.qxmd.com/read/33667913/thoracic-outlet-syndrome-in-a-patient-with-sapho-syndrome-a-case-report
#36
H Ohida, C Curuk, H Prescher, E Stegemann, Th Bürger
INTRODUCTION AND IMPORTANCE: Thoracic outlet syndrome (TOS) includes disorders caused by compression of the neurovascular structures in the upper thoracic outlet (Roos and Owens, 1996 [1]; Bürger, 2014; Curuk, 2020 [3]). Depending on the compressed structure, it is categorized into neurological, arterial and venous TOS. SAPHO syndrome (synovitis-acne-pustulosis-hyperostosis-osteitis syndrome) is a rare chronic inflammatory disease of unknown etiology. With its typical involvement of sternoclavicular joint and clavicle, complication due to hyperostosis in this region, leading to thrombosis of the subclavian vein have been reported in some cases of SAPHO syndrome...
March 2021: International Journal of Surgery Case Reports
https://read.qxmd.com/read/33556514/contemporary-management-of-arterial-thoracic-outlet-syndrome
#37
JOURNAL ARTICLE
Marcelo Bellini Dalio, Elpídio Ribeiro da Silva Filho, Marina Britto Barufi, Maurício Serra Ribeiro, Edwaldo Edner Joviliano
BACKGROUND: Arterial thoracic outlet syndrome (aTOS) is characterized by compression of the subclavian artery as it exits the thoracic girdle. Chronic and repetitive compression leads to several degrees of arterial wall damage. The treatment is varied and depends on the presentation severity. This study aimed to describe the contemporary experience in managing arterial thoracic outlet syndrome at a large tertiary hospital. METHODS: We conducted a single-institution retrospective review of aTOS cases from January 2009 to January 2020...
July 2021: Annals of Vascular Surgery
https://read.qxmd.com/read/33553371/a-case-report-of-membranous-occlusion-of-the-subclavian-vein-a-rare-cause-of-mccleery-syndrome
#38
Jingjing Yin, Zhenhong Qi, Yu Chen, Yuexin Chen
Patients presenting with periodic swelling of the upper extremity without thrombosis are diagnosed with McCleery syndrome. There have been sporadic cases reported over the past decades. Due to the rarity of this disease, no standard consensus on diagnosis and treatment of McCleery syndrome was established. Subclavius tendon and anterior scalene muscle compression were proposed as the primary cause of McCleery syndrome. Partial resecting muscle, tendon or ligament was recommended as therapies. We report one rare case of membranous occlusion of the subclavian vein (SCV) that leads to periodic swelling of upper extremity and diagnosis of McCleery syndrome was made...
January 2021: Annals of Translational Medicine
https://read.qxmd.com/read/33354468/an-interesting-case-of-a-cold-left-arm
#39
Laura Hmiel, Attila Nemeth
Inter-arm variability in blood pressure readings typically signifies arterial disease between the aortic arch and the subclavian artery. The differential diagnosis includes thoracic aortic dissection, atherosclerosis, thoracic outlet syndrome, and subclavian artery stenosis and thrombosis. In patients with prior coronary artery bypass grafting, including the internal mammary artery, several of those conditions can compromise coronary blood flow and lead to myocardial ischemia. Here we discuss a case of left subclavian artery thrombosis, which compromised left internal mammary artery blood flow and led to ischemic ventricular tachycardia...
November 17, 2020: Curēus
https://read.qxmd.com/read/33340730/intravascular-ultrasonography-provides-more-sensitive-detection-of-subclavian-vein-stenosis-than-venography-in-patients-presenting-with-paget-schroetter-syndrome
#40
COMPARATIVE STUDY
Jesus G Ulloa, Hugh A Gelabert, Jessica B O'Connell, Rhusheet Patel, David A Rigberg
OBJECTIVE: Spontaneous subclavian vein (SCV) thrombosis (Paget-Schroetter syndrome [PSS]) has been attributed to venous compression at the thoracic outlet and traditionally diagnosed using venography. Intravascular ultrasonography (IVUS) allows for a multidimensional view of vascular structures and might be more accurate in revealing venous compression. The goal of the present study was to compare venography and IVUS in patients presenting with PSS to assess the relative accuracy of each modality...
September 2021: Journal of Vascular Surgery. Venous and Lymphatic Disorders
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