Abstract
This article describes a case of Paget-Schroetter syndrome in a female water polo player. The condition was associated with strenuous exercise. The initial treatment strategy was limited to a 14-day heparin regimen followed by a course of diosmin and sulodexide. The article discusses the high risk of post-thrombotic syndrome in this cohort of patients and the rationale for a surgical intervention.
Highlights
CLINICAL CASE SPORTS MEDICINERodionovskaya SR , Torosian GG, Аksenova NV Federal Research and Clinical Center for Children and Adolescents, FMBA of Russia, Moscow, Russia
This article describes a case of Paget-Schroetter syndrome in a female water polo player
In the Russian literature, Paget–Schroetter syndrome (PSS) has been known as effort thrombosis since 1934 when it was described by Anton Pytel
Summary
Rodionovskaya SR , Torosian GG, Аksenova NV Federal Research and Clinical Center for Children and Adolescents, FMBA of Russia, Moscow, Russia. This article describes a case of Paget-Schroetter syndrome in a female water polo player. Vascular injuries of the upper extremity are rarely seen in athletes. Sports involving extreme physical exertion, like baseball, water polo, hockey, and swimming, increase the risk of upper extremity deep vein thrombosis, known as effort thrombosis, or Paget–Schroetter syndrome (PSS) [1]. PSS is axillosubclavian vein thrombosis provoked by repetitive strenuous exercise of the upper extremity. Chronic compression of the vein or its branches provokes aseptic phlebitis (obliterative or mural) commonly accompanied by mural thrombus formation [1, 2]
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