Pagetův‐Schrötterův syndrom je označení pro idiopatickou trombózu horní končetiny. Toto vzácné onemocnění nejčastěji postihuje mladé muže, typicky po práci či sportu s horními končetinami nad hlavou. Anatomicky rozlišujeme několik prostorů, kde může dojít k útlaku nervově cévního svazku v oblasti regio cervicalis lateralis.

Paget-Schrötter syndrome is a rare syndrome of idiopathic thrombosis of the upper extremity. This syndrome most often occurs in young men. The provocative factor can be work or sport with elevation of upper extremities above the head. There are several spaces in the cervical lateral region where compression of nerve vascular bundle can occur. The combination of the coincidence of Paget-Schrötter syndrome as a cause of chronic thromboembolic pulmonary hypertension is rare. Both diagnoses require specific therapy. For Paget-Schrötter syndrome it is a surgical approach or rehabilitation together with pharmacological treatment. However, for chronic thromboembolic hypertension, it is a surgical approach or the combination of pharmacotherapy and balloon angioplasty. We present a case report of a young female patient in whom we dealt with the coincidence of these illnesses as well as the proper therapeutic management of both conditions.

2 interní klinika Klinika kardiologie a angiologie 1 LF UK a VFN Praha

Klinika rehabilitace a tělovýchovného lékařství 2 LF UK a FN Motol Praha

Ústav anatomie 2 LF UK Praha

Case­report: Paget­Schrötter syndrome as a cause of chronic thromboembolic pulmonary hypertension

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