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"Right-sided" May-Thurner syndrome.
Georges Abboud1, Marco Midulla, Christophe Lions
1Hôpital Cardiologique, CHRU de Lille, 59037, Lille Cedex, France. drgeorgesabboud@hotmail.com
Cardiovascular and Interventional Radiology
|July 25, 2009
Summary
A rare "right-sided" May-Thurner syndrome, involving right common iliac vein compression, was successfully treated with endovascular stenting. This case highlights an unusual anatomical variant of May-Thurner syndrome.
Area of Science:
- Vascular Surgery
- Anatomical Variations
- Radiology
Background:
- May-Thurner syndrome typically involves left common iliac vein compression.
- Anatomical variations can lead to atypical presentations of vascular compression syndromes.
Observation:
- A 26-year-old woman presented with acute right lower limb edema.
- A left-sided inferior vena cava (IVC) was noted.
- Compression of the right common iliac vein (RCIV) by the left common iliac artery was diagnosed.
Findings:
- The patient was diagnosed with an unusual "right-sided" May-Thurner syndrome.
- CT scan and phlebography confirmed the diagnosis.
- Endovascular stenting achieved good vessel patency and clinical improvement.
Implications:
- This case expands the understanding of May-Thurner syndrome variations.
- Endovascular stenting is an effective treatment for atypical May-Thurner syndrome.
- Awareness of rare anatomical anomalies is crucial for accurate diagnosis and management.
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