Upper extremity venous aneurysm as a source of pulmonary emboli.

Abstract:

:Spontaneous venous aneurysms of the upper extremities and neck are rare and typically asymptomatic. We present the first reported case of a symptomatic, primary upper extremity venous aneurysm in a patient who initially presented with pulmonary emboli. A 22-year-old patient was admitted with chest pain, dyspnea, and a right axillary mass. Computed tomography revealed diffuse, bilateral pulmonary emboli in addition to a thrombosed axillary vein. Venography confirmed the diagnosis, and also revealed a subclavian vein stenosis at the crossing of the first rib. Pharmacomechanical thrombolysis, catheter-directed thrombolysis, and venoplasty were performed with adequate flow restoration, also revealing the presence of a previously thrombosed proximal brachial/distal axillary venous aneurysm. Hematologic testing showed a positive and persistent lupus anticoagulant. The patient declined surgical reconstruction and opted for long-term anticoagulation. At 24 months, the patient continued to remain symptom-free.

journal_name

Ann Vasc Surg

authors

Wallace JR,Baril DT,Chaer RA

doi

10.1016/j.avsg.2012.05.019

subject

Has Abstract

pub_date

2013-02-01 00:00:00

pages

240.e5-8

issue

2

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(12)00427-X

journal_volume

27

pub_type

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