An Occlusive Thrombus in the Subclavian Vein

Clinical History

A 69-year old male presented with a sudden onset of pain and swelling of his left upper limb after a recent insertion of a pacemaker device. A vascular ultrasound was requested to examine his upper limb veins for deep venous thrombosis (DVT).

Case Description

Ultrasound using a multifrequency linear transducer set at 8 MHz revealed an occlusive thrombus in the entire left subclavian vein adjacent to the pacemaker.

Diagnosis/ Discussion/ Treatment/ Follow Up

The result was urgently sent to the referring clinician who commenced the patient on the appropriate anticoagulation therapy.

Sonograms