Venous obstruction of the upper extremity caused by subclavian vein valve hypertrophy.

0 CARDIAC & CARDIOVASCULAR SYSTEMS Interdisciplinary cardiovascular and thoracic surgery Pub Date : 2024-10-08 DOI:10.1093/icvts/ivae165
Jianyu Liao, Zhoupeng Wu
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Abstract

This case report detailed a rare case of upper limb venous outflow obstruction due to primary subclavian vein valve hypertrophy in a 26-year-old male. Misdiagnosed initially, the condition was identified through advanced Doppler ultrasound and Computed Tomography Venography (CTV) Endovascular treatment using Wallstent stents effectively resolved the obstruction, preserving collateral venous circulations. This case highlights the importance of combined colour Doppler ultrasonography for diagnosing unusual venous obstructions and demonstrates the potential of endovascular treatments in managing rare venous conditions.

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锁骨下静脉瓣膜肥大导致上肢静脉阻塞。
本病例报告详细描述了一例罕见的因原发性锁骨下静脉瓣肥大导致上肢静脉流出道阻塞的病例,患者为一名26岁的男性。该病例最初被误诊,后经先进的多普勒超声和 CT 静脉造影检查才确诊。使用 Wallstent 支架进行的血管内治疗有效地解决了阻塞问题,保留了侧支静脉循环。该病例强调了联合彩色多普勒超声诊断异常静脉阻塞的重要性,并展示了血管内治疗在治疗罕见静脉疾病方面的潜力。
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