Abstract
Thoracic outlet syndrome (TOS) results from the compression of the subclavian vessels and the brachial plexus. Chronic compression of the vessels leads to pulmonary embolism (PE). We present our experience of two patients with PE due to TOS. Two patients (1 male, 1 female), both weightlifters, were admitted to our intensive care unit with severe hypoxaemia, dyspnoea and respiratory alkalosis. Both patients had a medical history of multiple attacks of chest pain and pain in the right arm. The clinical picture, a ventilation/perfusion scan and digital subtraction angiography confirmed the diagnosis of PE. We present this rare complication of the syndrome and give guidelines for optimal management and treatment.
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