'Effort' thrombosis of the axillary vein with pulmonary embolism
Autor: | Theodore Barnett, Leon M. Levitt |
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Rok vydání: | 1951 |
Předmět: |
medicine.medical_specialty
business.industry Embolism Thrombosis Pulmonary Artery medicine.disease Thrombophlebitis Surgery Pulmonary embolism Venous thrombosis medicine.anatomical_structure Embolus Upper Extremity Deep Vein Thrombosis cardiovascular system Medicine Humans cardiovascular diseases Radiology Thrombus Axillary Vein Axillary vein business Vein Pulmonary Embolism |
Zdroj: | Journal of the American Medical Association. 146(15) |
ISSN: | 0002-9955 |
Popis: | of the anatomical neck of the right humerus who had been treated with local massage. On the fourth day following injury the patient died unexpectedly and autopsy revealed an embolus in the right branch of the pulmonary artery secondary to thrombosis of the axillary and subclavian veins. Matas does not feel that this is a case of true "effort" thrombosis because the thrombus was secondary to an underlying fracture. It also seems likely that the massage was contributory to the fatal embolization. Pathologically, there is definite evidence of inflammation of the vein and perivenous tissues. The primary injury to the endothelium of the vein is such that the thrombus is firmly adherent from its inception. 9 The condition is one of true thrombophlebitis, rather than bland venous thrombosis, with firm fixation of the thrombus by the inflammatory reaction. 10 This accounts for the rarity of embolization. REPORT OF A CASE |
Databáze: | OpenAIRE |
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