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Axillosubclavian vein thrombosis produced by retrosternal thyroid
1Albert Einstein College of Medicine, Department of Thoracic Surgery, Bronx Municipal Hospital Center, New York.
Chest
|November 1, 1990
Summary
A rare cause of axillosubclavian vein thrombosis was identified: a giant substernal thyroid. This thyroid mass compressed the innominate vein, leading to venous thrombosis, highlighting an unusual etiology for this condition.
Area of Science:
- Vascular Surgery
- Endocrinology
- Internal Medicine
Background:
- Axillosubclavian vein thrombosis (ASVT) is a significant clinical condition.
- Common causes include trauma from medical devices (pacemaker wires, central venous lines) and effort thrombosis.
- These precipitating factors are frequently diagnosed in patients presenting with ASVT.
Observation:
- A case of a patient with ASVT is presented.
- The patient had a giant substernal thyroid.
- This thyroid mass was observed to be compressing the innominate vein.
Findings:
- The giant substernal thyroid was identified as the cause of the patient's subclavian vein thrombosis.
- Compression of the innominate vein by the thyroid mass led to venous thrombosis.
- This represents an uncommon etiology for ASVT.
Implications:
- Highlights a rare but significant cause of axillosubclavian vein thrombosis.
- Underscores the importance of considering non-traditional causes in venous thrombosis diagnosis.
- Suggests the need for comprehensive evaluation in cases of unexplained ASVT, including assessment for mediastinal masses.