Mc. Donaldson et Ad. Whittemore, THROMBOEMBOLISM FROM OCCULT SUBCLAVIAN ARTERIAL-STENOSIS DURING CHEMOTHERAPY FOR BREAST-CARCINOMA, Archives of surgery, 130(2), 1995, pp. 224-226
Cancer chemotherapy has been associated with hypercoagulability, causi
ng thromboembolic complications. Three unusual and strikingly similar
cases of upper-extremity arterial thromboembolism were encountered in
women undergoing chemotherapy following surgical treatment for breast
carcinoma. In all cases, previously asymptomatic stenosis of the subcl
avian artery due to extrinsic cause was suspected as the source of dis
tal thromboembolism. These cases illustrate the interplay between tran
sient hypercoagulability and underlying arterial disease in the pathog
enesis of arterial thromboembolism.