Venous thoracic outlet syndrome and Paget-Schroetter syndrome
| Autor: | Rush H. Chewning, Biren P. Modi, Riten Kumar |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
Thoracic outlet medicine.medical_specialty Adolescent First rib resection Ribs Edema Upper Extremity Deep Vein Thrombosis medicine Humans Orthopedic Procedures Vein Venous thoracic outlet syndrome business.industry Paget-schroetter syndrome Venous Thromboembolism medicine.disease Thrombosis Surgery Thoracic Outlet Syndrome medicine.anatomical_structure Pediatrics Perinatology and Child Health cardiovascular system medicine.symptom business Subclavian vein |
| Zdroj: | Seminars in pediatric surgery. 30(6) |
| ISSN: | 1532-9453 |
| Popis: | 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. Management is focused on clot minimization, anticoagulation during the period of endothelial injury and inflammation and surgical decompression via first rib resection, anterior scalenectomy and venolysis to remove external compression of the vein. This manuscript reviews the diagnosis, evaluation and treatment of venous thoracic outlet syndrome and Paget-Schroetter syndrome. |
| Databáze: | OpenAIRE |
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