Paget-Schroetter Syndrome Resulting from Thoracic Outlet Syndrome and KAATSU Training

Intern Med. 2017 Oct 1;56(19):2595-2601. doi: 10.2169/internalmedicine.7937-16. Epub 2017 Sep 6.

Abstract

A 29-year-old woman who worked as a KAATSU (a type of body exercise that involves blood flow restriction) instructor visited our emergency room with a chief complaint of swelling and left upper limb pain. Chest computed tomography (CT) showed non-uniform contrast images corresponding to the site from the left axillary vein to the left subclavian vein; vascular ultrasonography of the upper limb revealed a thrombotic obstruction at the same site, leading to a diagnosis of Paget-Schroetter syndrome (PSS). We herein report our experience with a case of PSS derived from thoracic outlet syndrome (TOS), in a patient who was a KAATSU instructor.

Keywords: KAATSU training; Paget-Schroetter syndrome; thoracic outlet syndrome.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anticoagulants / therapeutic use*
  • Blood Flow Velocity / drug effects
  • Female
  • Humans
  • Subclavian Vein / diagnostic imaging
  • Subclavian Vein / physiopathology*
  • Thoracic Outlet Syndrome / complications*
  • Thoracic Outlet Syndrome / diagnostic imaging
  • Thoracic Outlet Syndrome / physiopathology*
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Upper Extremity / diagnostic imaging
  • Upper Extremity / physiopathology*
  • Upper Extremity Deep Vein Thrombosis / diagnostic imaging
  • Upper Extremity Deep Vein Thrombosis / drug therapy*
  • Upper Extremity Deep Vein Thrombosis / etiology*
  • Upper Extremity Deep Vein Thrombosis / physiopathology

Substances

  • Anticoagulants