A Rare Cause of Deep Vein Thrombosis in a Young Orchestra Conductor

Upper extremity deep vein thrombosis (DVT) of the axillary/subclavian veins is rare (5–10% of DVT). After clinical suspicion and duplex ultrasound, anticoagulation, surgical decompression and sometimes thrombolysis are mandatory due to complications. We discuss the case of a young healthy orchestra...

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Main Authors: Anca Mihaela Lungu, Irina Mariella Andrei, Gabriela Uscoiu, Mihai Grigore, Adriana Mihaela Iliesiu
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/14/4/354
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author Anca Mihaela Lungu
Irina Mariella Andrei
Gabriela Uscoiu
Mihai Grigore
Adriana Mihaela Iliesiu
author_facet Anca Mihaela Lungu
Irina Mariella Andrei
Gabriela Uscoiu
Mihai Grigore
Adriana Mihaela Iliesiu
author_sort Anca Mihaela Lungu
collection DOAJ
description Upper extremity deep vein thrombosis (DVT) of the axillary/subclavian veins is rare (5–10% of DVT). After clinical suspicion and duplex ultrasound, anticoagulation, surgical decompression and sometimes thrombolysis are mandatory due to complications. We discuss the case of a young healthy orchestra conductor with primary DVT of the left upper extremity and concomitant left shoulder musculo-tendinous traumatic injury. Symptoms of both conditions and subtle signs of upper extremity DVT delayed the diagnosis until full-blown DVT occurred. After successful anticoagulation and surgical TOS (thoracic outlet syndrome) decompression, evolution was favorable, without recurrent thrombosis.
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spelling doaj.art-2737fd3eb5084e559724918c39b58a912024-02-23T15:13:39ZengMDPI AGDiagnostics2075-44182024-02-0114435410.3390/diagnostics14040354A Rare Cause of Deep Vein Thrombosis in a Young Orchestra ConductorAnca Mihaela Lungu0Irina Mariella Andrei1Gabriela Uscoiu2Mihai Grigore3Adriana Mihaela Iliesiu4Cardiology Department, “Prof. Dr. Th. Burghele”, 050659 Bucharest, RomaniaCardiology Department, “Prof. Dr. Th. Burghele”, 050659 Bucharest, RomaniaCardiology Department, “Prof. Dr. Th. Burghele”, 050659 Bucharest, RomaniaCardiology Department, “Prof. Dr. Th. Burghele”, 050659 Bucharest, RomaniaCardiology Department, “Prof. Dr. Th. Burghele”, 050659 Bucharest, RomaniaUpper extremity deep vein thrombosis (DVT) of the axillary/subclavian veins is rare (5–10% of DVT). After clinical suspicion and duplex ultrasound, anticoagulation, surgical decompression and sometimes thrombolysis are mandatory due to complications. We discuss the case of a young healthy orchestra conductor with primary DVT of the left upper extremity and concomitant left shoulder musculo-tendinous traumatic injury. Symptoms of both conditions and subtle signs of upper extremity DVT delayed the diagnosis until full-blown DVT occurred. After successful anticoagulation and surgical TOS (thoracic outlet syndrome) decompression, evolution was favorable, without recurrent thrombosis.https://www.mdpi.com/2075-4418/14/4/354effort-induced upper extremity deep vein thrombosisthoracic outlet syndromeanticoagulantssurgical decompression
spellingShingle Anca Mihaela Lungu
Irina Mariella Andrei
Gabriela Uscoiu
Mihai Grigore
Adriana Mihaela Iliesiu
A Rare Cause of Deep Vein Thrombosis in a Young Orchestra Conductor
Diagnostics
effort-induced upper extremity deep vein thrombosis
thoracic outlet syndrome
anticoagulants
surgical decompression
title A Rare Cause of Deep Vein Thrombosis in a Young Orchestra Conductor
title_full A Rare Cause of Deep Vein Thrombosis in a Young Orchestra Conductor
title_fullStr A Rare Cause of Deep Vein Thrombosis in a Young Orchestra Conductor
title_full_unstemmed A Rare Cause of Deep Vein Thrombosis in a Young Orchestra Conductor
title_short A Rare Cause of Deep Vein Thrombosis in a Young Orchestra Conductor
title_sort rare cause of deep vein thrombosis in a young orchestra conductor
topic effort-induced upper extremity deep vein thrombosis
thoracic outlet syndrome
anticoagulants
surgical decompression
url https://www.mdpi.com/2075-4418/14/4/354
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