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Clinical communication| Volume 8, ISSUE 1, P45-49, January 1990

A rare etiology for pulmonary embolism: Basilic vein thrombosis

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      Abstract

      A 61-year-old white male with recurrent thrombophlebitis developed a painful left arm. He was initially diagnosed with superficial thrombophlebitis and treated conservatively for several days without improvement. He subsequently developed right-sided pulmonary embolism. Hypercoagulability was not present, and venography confirmed the left basilic vein as the sole thrombogenic source. Twelve to twenty percent of documented pulmonary emboli arise from deep veins of the upper extremity. To our knowledge, only one case of basilic vein thrombosis causing pulmonary embolism exists in the literature. Clinical vigilance to this uncommon entity may reduce attendant morbidity and mortality.

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      References

        • Moser K.M.
        Pulmonary thromboembolism.
        in: Braunwald E. Harrison's principles of internal medicine. 11th ed. McGraw-Hill, New York1987: 1105-1111
        • Niemann J.T.
        • Rothstein R.J.
        Pulmonary embolism.
        in: Rosen P. Emergency medicine: concepts and clinical practice. 2nd ed. CV Mosby, St. Louis1988: 1163-1174
        • Valenzuela T.
        Pulmonary embolism.
        Ann Emerg Med. 1988; 17: 209-213
        • Tomlin C.
        Pulmonary infarction complicating thrombophlebitis of the upper extremity.
        Am J Med. 1952; 12: 411-421
        • Donayre C.
        • White G.
        • Mehringer S.
        • Wilson S.
        Pathogenesis determines late morbidity of axillosubclavian vein thrombosis.
        Am J Surg. 1986; 152: 179-184
        • Jones J.
        • Balkcom I.
        • Worman R.
        Pulmonary embolus after treatment for subclavian-axillary vein thrombosis.
        Postgrad Med. 1987; 82: 244-249
        • Flores A.
        • Tobis J.
        Acute axillary vein thrombosis following prolonged use of stand-alone: report of case.
        Arch Phy Med & Rehabil. 1970; 1: 239-241
        • Edwards L.
        • Hillard J.
        • Wood D.
        Axillary vein thrombosis and pulmonary embolism possibly due to oral contraception.
        Can Med Assc J. 1969; 100: 78-80
        • Mashiah A.
        • Lieberall M.
        • Pasik S.
        • David A.
        • Bar-Khayim Y.
        Axillary vein thrombosis: a rare complication following creation of arteriovenous fistula for hemodialysis.
        J Cardiovasc Surg. 1986; 27: 291-293
        • Dellinger R.
        • Savage P.
        Axillary vein thrombosis simulating superior vena caval syndrome.
        Southern Med J. 1984; 77: 507-510
        • Zahn C.
        • Wilson J.
        Association of subclavian-axillary vein thrombosis with brachial neuritis.
        Can Med Assc J. 1986; 135: 132-133
        • Goldstone J.
        Veins and lymphatics.
        in: Way L. Current surgical diagnosis and treatment. 6th ed. Lange Medical Publications, Los Altos1983: 727-749
        • Mealy K.
        • Shanik D.
        Axillary vein thrombosis: local treatment with streptokinase.
        Ir Med J. 1985; 78: 289-290
        • Steed D.
        • Teodori M.
        • Peitzman A.
        • McAuley C.
        • Kapoor W.
        • Webster M.
        Streptokinase in the treatment of subclavian vein thrombosis.
        J Vasc Surg. 1986; 4: 28-32
        • Kessler C.
        • Druy E.
        • Goldhaber S.
        Acute pulmonary embolism treated with thrombolytic agents: current status of tPA and future implications for emergency medicine.
        Ann Emerg Med. 1988; 17: 1216-1220
        • Ameli F.
        • Minas T.
        • Wiess M.
        • Provan J.
        Consequences of “conservative” conventional management of axillary vein thrombosis.
        Can J Surg. 1987; 30: 167-169
        • Currier C.
        • Widder S.
        • Ali A.
        • Kuusisto E.
        • Sidawy A.
        Surgical management of subclavian and axillary vein thrombosis in patients with functional arteriovenous fistula.
        Surgery. 1986; 100: 25-28