Journal of

Case Reports and Images in Medicine

 
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Case Report
 
Use of new oral anticoagulants and pulmonary thromboembolism recurrence secondary to Paget–Schroetter syndrome: A case report
Morales MC1, Delgado AFl2, Lemus HN1, Montenegro AC2,3
1School of Medicine, Universidad de los Andes.
2Department of Internal Medicine, Fundación Santa Fé de Bogotá. Colombia.
3Chief Anticoagulation Clinic, Fundación Santa Fé de Bogotá.

Article ID: 100016Z09MC2016
doi:10.5348/Z09-2016-16-CR-9

Address correspondence to:
Martha Catalina Morales
Alvarez, Universidad de los Andes
Bogotá Colombia

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How to cite this article:
Morales MC, Delgado AFl, Lemus HN, Montenegro AC. Use of new oral anticoagulants and pulmonary thromboembolism recurrence secondary to Paget–Schroetter syndrome: A case report. J Case Rep Images Med 2016;2:36–39.


Abstract
Introduction: The 'effort thrombosis' or Paget–Schroetter syndrome is an unusual form of upper limb deep venous thrombosis. The current management of this syndrome consists of surgical approach and to this date, there is no evidence of the anticoagulant therapy effectiveness.
Case Report: We describe a case of a young Korean male with pulmonary embolism secondary to Paget–Schroetter syndrome. The patient was treated with rivaroxaban for the pulmonary embolism and no surgical intervention was done. After a follow-up at 6th and 12th months, there was no recurrence of any thrombotic event.
Conclusion: We described a clinical scenario in which the use of new oral anticoagulants for the treatment of a pulmonary embolism prevents the recurrence of an upper limb thrombosis secondary to Paget–Schroetter syndrome. Even though there is no evidence in favor of using new oral anticoagulants for upper limb thrombosis, the current report proves its successful use.

Keywords: Effort thrombosis, New oral anticoagulants, Pulmonary embolism, upper limb thrombosis


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Author Contributions
Morales MC – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Delgado AFl – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Lemus HN – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Montenegro AC – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Morales MC et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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