Abstract

 

Subclavian vein obstruction with a thrombus in the lumen and with unknown or undefinable etiology has been named as Paget-Schroetter syndrome. It is also known as effort thrombosis since a repetitive upper extremity muscular activity is generally present in the history. There is a risk of pulmonary embolus in subclavian vein thrombosis as the all other deep vein thromboses.

26 year-old man who was working as a porter applied to the hospital with the compliant of hemoptysis and swelling of his arm. Venogram showed a thrombus in the subclavian vein and the thoracic computed tomography revealed an unvascularized area in the right lung. The patient diagnosed as Paget-Schroetter syndrome causing pulmonary embolus was treated with low molecular weight heparine and Warf ahne Sodium.

Since Paget-Schroetter syndrome causing pulmonary embolus is a very rare entity, this case is presented, and Paget-Schroetter syndrome is discussed with a literature review.

Key words: Paget-Schroetter syndrome, pulmonary embolus