Deep vein thrombosis (DVT) is an important disease and occurred in lower extremities ,commonly. Approximately 10% of all cases of DVT involve the upper extremities. Upper-extremity DVT is an increasingly entity  due to more catheter user and pace maker implantation. Because of potential risk of Pulmonary embolism , Upper-extremity DVT is clinically important condition. Involvement of upper extremity DVT is due to catheter  ,trauma, infection, mechanical obstruction, IV drug abusing, surgery, etc. Primary Upper-extremity DVT is a rare disorder  that refers either to effort thrombosis (the so-called Paget-Schroetter Syndrome) or idiopathic . Patients with Paget-Schroetter Syndrome develop  in young and healthy people ,in  dominant arm and after strenuous activity such as weight lifting, baseball pitching ,etc.

In this article we report a young patient suffering from pain and swelling caused by the movement of glaciers in the right hand.After color Doppler ultrasonography and Venography, Upper-extremity DVT recognized. He was treated by anticoagulant.

We will also talk about the next treatment and  patient^, s 4-years follow up.

In the present article . a young patient with a diagnosis of  right arm DVT post exertion with Paget-Schroetter syndrome and 4 years follow up is presented .