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

Anca Mihaela Lungu; Irina Mariella Andrei; Gabriela Uscoiu; Mihai Grigore; Adriana Mihaela Iliesiu

doi:10.3390/diagnostics14040354

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

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

Authors

Anca Mihaela Lungu¹, Irina Mariella Andrei¹, Gabriela Uscoiu^{1

2}, Mihai Grigore^{1

2}, Adriana Mihaela Iliesiu^{1

2}

Affiliations

¹ Cardiology Department, "Prof. Dr. Th. Burghele", 050659 Bucharest, Romania.
² Internal Medicine and Cardiology Department, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania.

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.

Grants and funding

This research received no external funding.