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Paget-Schroetter syndrome.

Kavita Krishna¹, Ami Shah, A Garg

¹Department of Medicine, Bharati Vidyapeeth Deemed University Medical College and Bharati Hospital, Dhankawadi, Pune - 411 043, Maharashtra.

The Journal of the Association of Physicians of India

|September 12, 2007

Summary

A rare case of upper-extremity deep vein thrombosis (UEDVT), also known as Paget-Schroetter syndrome, occurred in an elderly male after exertion. The patient successfully recovered with limb elevation and anticoagulation therapy.

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Area of Science:

Vascular Medicine
Thrombotic Disorders

Background:

Primary upper-extremity deep vein thrombosis (UEDVT), or Paget-Schroetter syndrome, is an uncommon condition.
It is typically characterized as effort thrombosis, predominantly affecting young, healthy individuals engaged in strenuous upper limb activities.

Observation:

This report details a case of Paget-Schroetter syndrome in an elderly male patient.
The patient presented with a history of significant exertion involving the left upper limb.

Findings:

The patient demonstrated a positive response to conservative management, including limb elevation.
Anticoagulation therapy was initiated and found to be effective in treating the thrombosis.
No alternative etiological factors for the deep vein thrombosis were identified in this case.

Implications:

This case expands the known demographic profile for Paget-Schroetter syndrome, suggesting it can occur in elderly individuals.
It highlights the importance of considering exertion as a potential trigger for UEDVT, even in older populations.
The successful outcome with limb elevation and anticoagulation supports these as primary treatment modalities for effort-induced UEDVT.