Paget-Schroetter Syndrome secondary to anomalous right-sided aortic arch: A case report
Thoracic Outlet Syndrome (TOS) is a rare condition, with an estimated prevalence of about 3 in 100,000 individuals.1 Venogenic TOS, also referred to as Paget-Schroetter Syndrome (PSS), is rarer than neurogenic TOS with an estimated prevalence of 1 in 100,000.1 In this case report, we present a rare...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-03-01
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| Series: | Annals of Vascular Surgery - Brief Reports and Innovations |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772687825000091 |
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| Summary: | Thoracic Outlet Syndrome (TOS) is a rare condition, with an estimated prevalence of about 3 in 100,000 individuals.1 Venogenic TOS, also referred to as Paget-Schroetter Syndrome (PSS), is rarer than neurogenic TOS with an estimated prevalence of 1 in 100,000.1 In this case report, we present a rare case of PSS secondary to an anomalous right-sided aortic arch with branching anomalies, which are described poorly in the literature. The patient, a 41-year-old male with no significant past medical history, presented with classic PSS symptoms that include left neck swelling and pain, intermittent numbness, and swelling in the left arm. Following admission, a chest CT with contrast revealed a right-sided aortic arch along with a left common carotid artery and left subclavian artery that share a common trunk. Ultrasound revealed thrombosis of the left subclavian and innominate veins consistent with PSS. He underwent an aspiration thrombectomy and catheter-directed thrombolytic therapy. The patient is currently symptom-free and successfully managed in the short term with anticoagulation therapy. |
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| ISSN: | 2772-6878 |