May-Thurner syndrome: update and review
Albeir Y Mousa1, Ali F AbuRahma
1Department of Surgery, Robert C. Byrd Health Sciences Center, West Virginia University, Charleston, WV 25304, USA. amousa@hsc.wvu.edu
Annals of Vascular Surgery
|July 16, 2013
Summary
May-Thurner syndrome (MTS) is a rare venous outflow obstruction caused by artery compression. Prompt diagnosis and treatment involving thrombolysis and stenting are crucial for managing deep vein thrombosis and preventing complications.
Area of Science:
- Vascular Surgery
- Venous Anatomy
- Radiology
Background:
- May-Thurner syndrome (MTS) involves extrinsic compression of the left common iliac vein by the right common iliac artery.
- This anatomical variant can lead to venous outflow obstruction and deep vein thrombosis (DVT).
Observation:
- MTS prevalence may be underestimated due to its variable presentations.
- Clinical manifestations range from pain and swelling to venous stasis ulcers and skin discoloration.
- Extensive DVT can result in postphlebetic syndrome.
Findings:
- The primary pathology is iliac vein compression, impeding venous outflow.
- Treatment strategies are tailored to clinical presentation, often involving thrombolysis and inferior vena cava filters.
- Angioplasty and stenting of the left iliac vein are key interventions for extensive DVT in MTS patients.
Implications:
- Early recognition and intervention are vital to prevent severe complications of MTS and DVT.
- Adherence to current Society for Vascular Surgery guidelines ensures optimal patient management.
- Further research may elucidate the true prevalence and refine treatment protocols for MTS.
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