Venous thoracic outlet syndrome

Case contributed by Mohammad Farghali Ali Tosson
Diagnosis almost certain

Presentation

Dyspnea and left upper limb heaviness.

Patient Data

Age: 60 years
Gender: Male

Evidence of bilateral pulmonary emboli as well-defined intraluminal hypodense filling defects involving bilateral main pulmonary arteries, segmental & subsegmental pulmonary branches in a descending manner.

Marked compression of the left brachiocephalic vein against the sternum anteriorly by the aortic arch with subsequent marked luminal narrowing, multiple collaterals and dilated left jugular vein.

Annotated image

Marked compression of the left brachiocephalic vein against the sternum anteriorly by the aortic arch with subsequent marked luminal narrowing.

Case Discussion

Thoracic outlet syndrome secondary to marked compression upon the brachiocephalic vein.

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