Osman Murat, Afridi Faryal G, Sidawy Anton N, Lala Salim
George Washington University School of Medicine and Health Sciences, Washington, D.C.
Division of Vascular Surgery, Department of Surgery, George Washington University, Washington, D.C.
J Vasc Surg Cases Innov Tech. 2020 Feb 12;6(1):59-62. doi: 10.1016/j.jvscit.2019.11.012. eCollection 2020 Mar.
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.
佩吉特-施罗特综合征是原发性静脉胸廓出口综合征的一种形式，即锁骨下静脉血栓形成是由手臂反复剧烈的过顶活动引发的。我们描述了一名35岁、妊娠8周的白人孕妇，其职业为竞技游泳运动员，被诊断为左上肢血栓。在经皮药物机械性血栓清除术后1周，通过锁骨下途径进行了第一肋切除术。反复静脉造影显示有残余血栓，需要再次进行经皮药物机械性血栓清除术并球囊血管成形术。我们呈现了一个具有挑战性的病例，重点关注患有这种疾病的孕妇独特的诊断评估和管理。
