A Case of Bilateral Subclavian Venous Thrombosis Associated with Sternocostoclavicular Hyperostosis.

Jeong, Hoon; Sim, Young Mog; Yoo, Bin; Shim, Tae Sun; Lim, Chae Man; Lee, Sang Do; Koh, Younsuck; Kim, Dong Soon; Kim, Won Dong; Kim, Woo Sung

doi:2001.51.4.379

Tuberc Respir Dis > Volume 51(4); 2001 > Article

Case Report

Tuberculosis and Respiratory Diseases 2001;51(4):379-385.
DOI: https://doi.org/10.4046/trd.2001.51.4.379 Published online October 1, 2001.

A Case of Bilateral Subclavian Venous Thrombosis Associated with Sternocostoclavicular Hyperostosis.

Hoon Jeong, Young Mog Sim, Bin Yoo, Tae Sun Shim, Chae Man Lim, Sang Do Lee, Younsuck Koh, Dong Soon Kim, Won Dong Kim, Woo Sung Kim

Abstract

Sternocostoclavicular hyperostosis is an uncommon disease, characterized by an inflammatory arthrosteitis of the sternocostoclavicular region. Clinically, it manifests as a painful swelling of the upper anterior chest wall, which is associated with occasional pustulosis palmaris and plantaris. A 48-year-old man had suffered from pain in both shoulders and the upper anterior part of the chest for 6 months. On examination, a venous engorgement in the neck with dilated collateral veins in the upper chest and shoulders was observed. Swelling was noticed in his face, neck and both arms. Radiologically, the clavicles, the sternum and the first ribs were enlarged with complete fusion between them. 99Tc scintigraphy showed increased uptake in the clavicles and the sternum. Selective venography resulted in a bilateral subclavian and brachiocephalic vein occulation, which resulted from a subclavian vein thrombosis. All the above suggested a sternocostoclavicular hyperostosis. He underwent a vascular graft interposition between the right jugular vein and the left innomianate vein (using 8mm ringed Gore-Tex graft) and a resection of the bilateral medial half of clavicle and 1st rib. Here, we present a case on sternoclavicular hyperostosis with subclavian and brachiocephalic vein thrombosis, and report this case study with a review of the appropriate literature.

Key Words: Sternocostoclavicular hyperostosis, Stenum, Clavicle, Pustulosis palmaris and plantaris, Subclavian vein thrombosis