Aa
A
A
Close
Avatar universal
subclavian/innominate DVT
Hello,

I am a 30 yr old male, non-smoker, previously healthy, only significant medical history is spontaneous pneumothorax which was fixed 7 yrs ago. My question relates to treatment for chronic DVT. I suffered an acute rt arm DVT in Nov. 06 which was removed by catheter-directed tPA. I was diagnosed with venous thoracic outlet syndrome. In Feb. 07 I reported to a referral surgeon to investigate my candidacy for rib resection, however, at this referral the surgeon suspected I had suffered another DVT and sent me for an emergency CT. This showed I had a large, non-occlusive thrombus in the RT innominate vein. My vasc. surgeon declined thrombolysis, as he suspected the DVT was 3 wks old based on clinical history and outside the window of efficacy. I have been recently referred again to the thoracic outlet specialist to look at my condition and he doesn't think that anything can be done to resolve the innominate DVT (about 2 cm). He also doesn't think that there is a point to rib resection. My current symptoms are slight arm swelling that worsens with any exertion, visible collaterals, jugular tightness with activity, slight tingling in fingers, and arm fatigue.

I have been examining options, such as vein reconstruction/bypass.

My questions are:

1. If a surgeon elected for a vein reconstruction, how disabling is the sternotomy surgery?

2. Are there any effective intraluminal/endovenous techniques to resolve the thrombus?

3. Can you suggest any effective treatment for this condition?
Cancel
0 Answers
Page 1 of 1
Your Answer
Avatar universal
Answer
Do you know how to answer? Tap here to leave your answer...
Answer
Answer
Post Answer
A
A
Top Heart Disease Answerers
159619 tn?1318997813
Blank
Salt Lake City, UT
11548417 tn?1480750569
Blank
Netherlands
144586 tn?1284669764
Blank
Avatar universal
Blank
Avatar universal
Blank
Ireland
Blank
BloodPressure Tracker
Monitor Your Blood Pressure
Start Tracking Now
Blank
HeartRhythm Tracker
Track your Heart Condition
Start Tracking Now
Recent Activity
Avatar universal
Blank
Paxiled commented on Green Tea and Green T...
6 hrs ago
8958586 tn?1481364312
Blank
SmokeFree4Me frustrated & confused. Comment
6 hrs ago
Avatar universal
Blank
jimgreg on now 400 mg of lamctal,,a... Comment
18 hrs ago
Heart Disease Community Resources