Multiple Pulmonary Emboli With Pulmonary Hypertension Caused by Effort Thrombosis and Effective Balloon Venoplasty of the Subclavian Vein.

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  • Isaka Naoki
    First Department of Internal Medicine, Mie University School of Medicine
  • Yamada Norikazu
    First Department of Internal Medicine, Mie University School of Medicine
  • Araki Shigemasa
    First Department of Internal Medicine, Mie University School of Medicine
  • Onishi Katsuya
    First Department of Internal Medicine, Mie University School of Medicine
  • Motoyasu Munenobu
    First Department of Internal Medicine, Mie University School of Medicine
  • Okinaka Tsutomu
    First Department of Internal Medicine, Mie University School of Medicine
  • Ito Masaaki
    First Department of Internal Medicine, Mie University School of Medicine
  • Nakano Takeshi
    First Department of Internal Medicine, Mie University School of Medicine

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A 36-year-old woman with effort thrombosis of the subclavian vein associated with multiple pulmonary emboli was successfully treated with local thrombolysis of the subclavian vein using a pulse-spray catheter and systemic anticoagulation. Balloon venoplasty of the residual stenosis of subclavian vein was carried out and in follow-up venography 6 months later, there was no restenosis, and the patient has been asymptomatic for 12 months. Pulmonary embolism is not a rare complication of upper extremity deep vein thrombosis and should be managed as aggressively as lower extremity deep vein thrombosis. (Jpn Circ J 2001; 65: 920 - 922)

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