Bilateral axillary vein thrombosis.

نویسنده

  • K. Steele
چکیده

UPPER limb thrombosis accounts for only one per cent of all deep vein thromboses.' This may be because there are fewer valves in the arm veins, along with increased fibrinolytic activity and decreased hydrostatic pressure.2 The aetiology is primary and secondary. The primary cause is thought to be mechanical due to anatomical factors in that the axillary vein passes through a triangle composed of scalenus anterior posteriorly, the clavicle and subclavian muscle anteriorly and the first rib inferiorly. Excessive movement of shoulder and upper arm distorts the vein and intimal damage results in subsequent thrombosis. The condition has been described in weight lifters and long distance lorry drivers. Secondary causes are subsequent to fracture dislocations of clavicle, congestive heart failure, malignancy and the introduction of catheters or irritant substances into the arm veins. The condition is usually unilateral but occurs bilaterally in 14 per cent of cases. The common presentations are pain in the axilla and/or upper arm fatigability brought on by activity which had previously caused no discomfort. The presenting signs include oedema of the arm, evidence of venous collaterals and palpation of a venous cord in the axilla.

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عنوان ژورنال:
  • The Ulster Medical Journal

دوره 52  شماره 

صفحات  -

تاریخ انتشار 1983