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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A 47-Year-Old Man With Upper Extremity Pain and Edema and Severe Hypoxemia*

Steven Kadiev, MBBCh; Philip Diaz, MBBCh
Author and Funding Information

*From Pulmonary and Critical Care, Ohio State University Medical Center, Columbus, OH.

Correspondence to: Philip Diaz, MBBCh, 201 DHLRI, 473 W 12th Ave, Columbus, OH 43210; e-mail: philip.diaz@osumc.edu



Chest. 2007;131(6):1982-1985. doi:10.1378/chest.06-2115
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Extract

A 47-year-old man with diabetes mellitus and hypertension was admitted with acute left upper extremity pain, swelling, and redness. He complained of dyspnea, left pleuritic chest pain, and a productive yellow cough, occasionally being blood streaked. Ten days ago, he was admitted for diabetic ketoacidosis. During that time, he had a peripheral IV line in his left forearm.

1Allen, TL, Carter, JL, Morris, PJ, et al (2005) Retrievable vena cava filters in trauma patients for high-risk prophylaxis and prevention of pulmonary embolism.Am J Surg189,656-6612Ascher, E, Hingorani, A, Mazzariol, F, et al Clinical experience with superior vena caval Greenfield filters.J Endovasc Surg1999;6,365-3693Ascher, E, Hingorani, A, Tsemekhin, B, et al Lessons learned from a 6-year clinical experience with superior vena cava Greenfield filters.J Vasc Surg2000;32,881-8874Hussain, SM, McLafferty, RB, Schmittling, ZC, et al Superior vena cava perforation and cardiac tamponade after filter placement in the superior vena cava: a case report.Vasc Endovascular Surg2005;39,367-3705Langham, MR, Jr, Etheridge, JC, Crute, SL, et al Experimental superior vena caval placement of the Greenfield filter.J Vasc Surg1985;2,794-7986Murphy, K Superior vena cava filters.Tech Vasc Interv Radiol2004;7,105-1097Nadkarni, S, Macdonald, S, Cleveland, TJ, et al Placement of a retrievable Gunther Tulip filter in the superior vena cava for upper extremity deep venous thrombosis.Cardiovasc Intervent Radiol2002;25,524-5268Rajan, DK, Sniderman, KW, Rubin, BB Retrieval of the Bard recovery filter from the superior vena cava.J Vasc Interv Radiol2004;15,1169-11719Spence, LD, Gironta, MG, Malde, HM, et al Acute upper extremity deep venous thrombosis: safety and effectiveness of superior vena caval filters.Radiology1999;210,53-58

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