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. 2024 Feb 6;14(4):354.
doi: 10.3390/diagnostics14040354.

A Rare Cause of Deep Vein Thrombosis in a Young Orchestra Conductor

Anca Mihaela Lungu  1 , Irina Mariella Andrei  1 , Gabriela Uscoiu  1   2 , Mihai Grigore  1   2 , Adriana Mihaela Iliesiu  1   2
Affiliations

A Rare Cause of Deep Vein Thrombosis in a Young Orchestra Conductor

Anca Mihaela Lungu et al. Diagnostics (Basel). .

Abstract

Upper extremity deep vein thrombosis (DVT) of the axillary/subclavian veins is rare (5-10% of DVT). After clinical suspicion and duplex ultrasound, anticoagulation, surgical decompression and sometimes thrombolysis are mandatory due to complications. We discuss the case of a young healthy orchestra conductor with primary DVT of the left upper extremity and concomitant left shoulder musculo-tendinous traumatic injury. Symptoms of both conditions and subtle signs of upper extremity DVT delayed the diagnosis until full-blown DVT occurred. After successful anticoagulation and surgical TOS (thoracic outlet syndrome) decompression, evolution was favorable, without recurrent thrombosis.

Keywords: anticoagulants; effort-induced upper extremity deep vein thrombosis; surgical decompression; thoracic outlet syndrome.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Venous ultrasound: subacute left subclavian vein thrombosis with hypoechoic thrombotic material (white arrows) and small hyperechoic areas (blue arrows).
Figure 2
Figure 2
CT angiography: left subclavian vein compressed (red arrow) by first rib (black arrow).
Figure 3
Figure 3
Venous ultrasound: left subclavian vein recanalization (white arrow), with normal color Doppler (red content) and pulsed Doppler flow.
See this image and copyright information in PMC

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