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November 25, 1939


JAMA. 1939;113(22):1960-1963. doi:10.1001/jama.1939.72800470001009

Intermittent obstruction of the subclavian vein is very uncommon. Venous obstruction is rarely a factor in cases of cervical rib with arterial compression and associated paresthesias. Swelling of the arm following radical mastectomy is frequently seen as a result of venous or lymphatic obstruction, but it is usually constant, permanent and due to scar tissue or recurrent malignant growth. Matas1 recently reviewed the subject of primary thrombosis of the axillary vein following strain. Marked swelling of the involved extremity is usual in this condition, but with its development a firm tender thrombosed axillary vein is always associated.

The following report represents an instance of intermittent obstruction of the right subclavian vein developing in a healthy young man and persisting for two years. The absence of any history of trauma or venous thrombosis at the onset of the illness, together with the operative observations and the clinical result following section