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Case Reports in Vascular Medicine
Volume 2012 (2012), Article ID 569095, 3 pages
http://dx.doi.org/10.1155/2012/569095
Case Report

Left Hemibody Swelling in an HIV-Positive Patient with Congenital Heart Disease

Department of Internal Medicine, St. Marta's Hospital, 1169-024 Lisbon, Portugal

Received 26 January 2012; Accepted 4 March 2012

Academic Editors: P.-H. Huang, A. Iyisoy, L. Masotti, and J. Saour

Copyright © 2012 Matteo Boattini et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report the case of a 50-year-old HIV-positive woman with a congenital cyanotic heart disease who developed left axillary, subclavian, and brachiocephalic vein thrombosis and left lower aortopulmonary collateral arterial thrombosis, presenting as left hemibody swelling. We also briefly overview the literature regarding upper extremity deep vein thrombosis (UEDVT). Given the absence of other risk factors, it was our firm believe that our patient's UEDVT was due to a hypercoagulable state associated with congestive heart failure (CHF) and HIV infection.