Vnitr Lek 2023, 69(7):430-432 | DOI: 10.36290/vnl.2023.085

Case­‑report: Paget­‑Schrötter syndrome as a cause of chronic thromboembolic pulmonary hypertension

Michaela Veselá^{1, 2}, Pavel Jansa¹, Debora Karetová¹, Viktor Veselý³, Aleš Linhart¹

¹ II. interní klinika - Klinika kardiologie a angiologie, 1. LF UK a VFN, Praha

² Ústav anatomie 2. LF UK, Praha

³ Klinika rehabilitace a tělovýchovného lékařství 2. LF UK a FN Motol, Praha

Paget-Schrötter syndrome is a rare syndrome of idiopathic thrombosis of the upper extremity. This syndrome most often occurs in young men. The provocative factor can be work or sport with elevation of upper extremities above the head. There are several spaces in the cervical lateral region where compression of nerve vascular bundle can occur. The combination of the coincidence of Paget-Schrötter syndrome as a cause of chronic thromboembolic pulmonary hypertension is rare. Both diagnoses require specific therapy. For Paget-Schrötter syndrome it is a surgical approach or rehabilitation together with pharmacological treatment. However, for chronic thromboembolic hypertension, it is a surgical approach or the combination of pharmacotherapy and balloon angioplasty. We present a case report of a young female patient in whom we dealt with the coincidence of these illnesses as well as the proper therapeutic management of both conditions.

Keywords: Paget­‑Schrötter syndrome, deep venous thrombosis of upper arm, chronic thromboembolic pulmonary hypertension (CTEPH).

Accepted: October 19, 2023; Published: October 26, 2023  Show citation