Subclavian vein thrombosis caused by an unusual congenital clavicular anomaly in an atypical anatomic position

• Published in: Journal of vascular surgery Vol. 36; no. 3; pp. 629 - 631
• Main Authors: Filis, Konstantinos A., Nguyen, Thelinh Q., Olcott, Cornelius
• Format: Journal Article
• Language: English
• Published: New York, NY Mosby, Inc 01.09.2002; Elsevier
• Subjects: Adult; Biological and medical sciences; Blood and lymphatic vessels; Cardiology. Vascular system; Clavicle - abnormalities; Clavicle - diagnostic imaging; Clavicle - surgery; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous; Exostoses - complications; Exostoses - congenital; Exostoses - surgery; Female; Humans; Medical sciences; Radiography; Subclavian Vein - diagnostic imaging; Subclavian Vein - surgery; Syndrome; Venous Thrombosis - diagnostic imaging; Venous Thrombosis - etiology; Venous Thrombosis - surgery; Vascular disease; Case study; Human; Clavicle; Primitive thrombosis of the subclavian vein; Diseases of the osteoarticular system; Clinical form; Cardiovascular disease; Osteochondrodysplasia; Multiple cartilaginous exostosis; Genetic disease; Venous disease
• ISSN: 0741-5214; 1097-6809
• DOI: 10.1067/mva.2002.125846

The optimal surgical management of subclavian vein effort thrombosis remains a dilemma because outcomes after different treatment strategies are only on the basis of small retrospective series. SVT treatment should be on the basis of the cause of thrombosis. Primary effort thrombosis or Paget-Schroetter syndrome frequently necessitates a surgical approach. The type of surgery has to be individualized after careful diagnostic evaluation. We report a congenital clavicular exostosis that had not been identified with chest radiograph and computed tomographic scan that caused SVT in a young woman. This unusual cause of Paget-Schroetter syndrome was treated with a unique approach. (J Vasc Surg 2002;36:629-31.)