Upper extremity venous aneurysm as a source of pulmonary emboli.

[thoracic outlet syndrome]

Spontaneous venous aneurysms of the upper extremities and neck are rare and typically asymptomatic . We present the first reported case of a symptomatic , primary upper extremity venous aneurysm in a patient who initially presented with pulmonary emboli . A 22 -year -old patient was admitted with chest pain , dyspnea , and a right axillary mass . Computed tomography revealed diffuse , bilateral pulmonary emboli in addition to a thrombosed axillary vein . Venography confirmed the diagnosis , and also revealed a subclavian vein stenosis at the crossing of the first rib . Pharmacomechanical thrombolysis , catheter-directed thrombolysis , and venoplasty were performed with adequate flow restoration , also revealing the presence of a previously thrombosed proximal brachial /distal axillary venous aneurysm . Hematologic testing showed a positive and persistent lupus anticoagulant . The patient declined surgical reconstruction and opted for long -term anticoagulation . At 24 months , the patient continued to remain symptom-free .

Diseases
Validation

Diseases presenting "dyspnea" symptom

acute rheumatic fever

allergic bronchopulmonary aspergillosis

carcinoma of the gallbladder

congenital diaphragmatic hernia

cushing syndrome

cutaneous mastocytosis

dedifferentiated liposarcoma

erdheim-chester disease

esophageal carcinoma

fabry disease

familial mediterranean fever

inclusion body myositis

liposarcoma

lymphangioleiomyomatosis

neuralgic amyotrophy

pleomorphic liposarcoma

primary effusion lymphoma

scrub typhus

systemic capillary leak syndrome

thoracic outlet syndrome

well-differentiated liposarcoma

This symptom has already been validated