Percutaneous Deep Vein Stenting to Prevent Recurrent Pulmonary Thromboembolism From Axillary Venous Malformation

A 37-year-old man was seen for recurrent pulmonary embolism in 2007. He had previously experienced pulmonary embolism in 2001 and 2006. As a result, he developed significant pulmonary hypertension that manifested as shortness of breath on exertion. On physical examination, a large, rubbery, nonpulsatile mass of the right axilla (Figure 1) was noted. He was treated with therapeutic oral anticoagulation after his first pulmonary embolism, and an inferior vena cava filter was deployed after the second episode …