{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T20:05:08Z","timestamp":1790021108722,"version":"4.0.1"},"reference-count":6,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2024,2,6]],"date-time":"2024-02-06T00:00:00Z","timestamp":1707177600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Upper extremity deep vein thrombosis (DVT) of the axillary\/subclavian veins is rare (5\u201310% of DVT). After clinical suspicion and duplex ultrasound, anticoagulation, surgical decompression and sometimes thrombolysis are mandatory due to complications. We discuss the case of a young healthy orchestra conductor with primary DVT of the left upper extremity and concomitant left shoulder musculo-tendinous traumatic injury. Symptoms of both conditions and subtle signs of upper extremity DVT delayed the diagnosis until full-blown DVT occurred. After successful anticoagulation and surgical TOS (thoracic outlet syndrome) decompression, evolution was favorable, without recurrent thrombosis.<\/jats:p>","DOI":"10.3390\/diagnostics14040354","type":"journal-article","created":{"date-parts":[[2024,2,6]],"date-time":"2024-02-06T05:36:43Z","timestamp":1707197803000},"page":"354","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["A Rare Cause of Deep Vein Thrombosis in a Young Orchestra Conductor"],"prefix":"10.3390","volume":"14","author":[{"given":"Anca Mihaela","family":"Lungu","sequence":"first","affiliation":[{"name":"Cardiology Department, \u201cProf. Dr. Th. Burghele\u201d, 050659 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irina Mariella","family":"Andrei","sequence":"additional","affiliation":[{"name":"Cardiology Department, \u201cProf. Dr. Th. Burghele\u201d, 050659 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1580-1591","authenticated-orcid":false,"given":"Gabriela","family":"Uscoiu","sequence":"additional","affiliation":[{"name":"Cardiology Department, \u201cProf. Dr. Th. Burghele\u201d, 050659 Bucharest, Romania"},{"name":"Internal Medicine and Cardiology Department, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mihai","family":"Grigore","sequence":"additional","affiliation":[{"name":"Cardiology Department, \u201cProf. Dr. Th. Burghele\u201d, 050659 Bucharest, Romania"},{"name":"Internal Medicine and Cardiology Department, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adriana Mihaela","family":"Iliesiu","sequence":"additional","affiliation":[{"name":"Cardiology Department, \u201cProf. Dr. Th. Burghele\u201d, 050659 Bucharest, Romania"},{"name":"Internal Medicine and Cardiology Department, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,2,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1569","DOI":"10.1007\/s11845-021-02775-0","article-title":"Upper extremity deep venous thrombosis prevalence in the NHS Grampian Medical Ambulatory clinic: Diagnostic, therapeutic, and prognostic considerations in oncology patients","volume":"191","author":"Kastora","year":"2022","journal-title":"Irish J. Med. Sci."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Adam, G., Wang, K., Demaree, C.J., Jiang, J.S., Cheung, M., Bechara, C.F., and Lin, P.H. (2018). A Prospective Evaluation of Duplex Ultrasound for Thoracic Outlet Syndrome in High-Performance Musicians Playing Bowed String Instruments. Diagnostics, 8.","DOI":"10.3390\/diagnostics8010011"},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Bosch, F.T.M., Nisio, M.D., B\u00fcller, H.R., and van Es, N. (2020). Diagnostic and Therapeutic Management of Upper Extremity Deep Vein Thrombosis. J. Clin. Med., 9.","DOI":"10.3390\/jcm9072069"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1016\/j.chest.2015.11.026","article-title":"Antithrombotic Therapy for VTE Disease: CHEST Guideline and Expert Panel Report","volume":"149","author":"Kearon","year":"2016","journal-title":"Chest"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"861","DOI":"10.1056\/NEJMcp1008740","article-title":"Clinical practice. Deep-vein thrombosis of the upper extremities","volume":"364","author":"Kucher","year":"2011","journal-title":"N. Engl. J. Med."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1693","DOI":"10.1016\/S0003-4975(03)00116-4","article-title":"Paget-Schroetter syndrome therapy: Failure of intravenous stents","volume":"75","author":"Urschel","year":"2003","journal-title":"Ann. Thorac. Surg."}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/14\/4\/354\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T13:55:51Z","timestamp":1760104551000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/14\/4\/354"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,6]]},"references-count":6,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,2]]}},"alternative-id":["diagnostics14040354"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics14040354","relation":{},"ISSN":["2075-4418"],"issn-type":[{"value":"2075-4418","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,6]]}}}