May-Thurner syndrome: old acquaintance, new perspective : Case report
Anja Boc1, Vinko Boc2, Matija Kozak3,2
1Faculty of Medicine, Institute of Anatomy, University of Ljubljana, Korytkova 2, 1000, Ljubljana, Slovenia. anja.boc@mf.uni-lj.si.
Wiener Klinische Wochenschrift
|March 22, 2017
Summary
May-Thurner syndrome (MTS), an anatomic variant causing left iliac vein compression, can lead to deep venous thrombosis (DVT). Endovascular treatment, including thrombolysis and stenting, effectively manages acute DVT and prevents postthrombotic syndrome in MTS patients.
Area of Science:
- Vascular Surgery
- Anatomy
- Radiology
Background:
- May-Thurner syndrome (MTS) involves left common iliac vein compression by the right common iliac artery and lumbar vertebra.
- This anatomical variant is a common cause of left lower extremity deep venous thrombosis (DVT).
Observation:
- A 65-year-old woman presented with iliofemoral DVT secondary to May-Thurner syndrome.
- Diagnostic evaluation confirmed the anatomical basis of her condition.
Findings:
- Anticoagulation is standard for acute DVT.
- Catheter-directed thrombolysis with stenting offers a safe and effective treatment for MTS-related DVT.
- This approach alleviates acute symptoms and prevents postthrombotic syndrome.
Implications:
- Understanding vascular anatomy is critical for diagnosing and treating May-Thurner syndrome.
- Endovascular techniques provide a valuable therapeutic option for patients with MTS and DVT.
- Early intervention can significantly improve patient outcomes and reduce long-term complications.
More Related Videos
Related Concept Videos
01:23Mitral Stenosis II: Clinical features and Diagnostic Tests
371
Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
371
01:22Mitral Stenosis I: Introduction
986
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
986
01:27Mitral Valve Prolapse I: Introduction
791
IntroductionThe mitral valve, one of the heart's four valves, regulates blood flow. These valves have flaps that open and close to direct blood properly through the heart and body. During each heartbeat, the flaps open for blood to pass through and seal shut to prevent backflow. Specifically, the mitral valve opens to allow blood flow from the heart's upper left chamber to the lower left chamber. It then closes securely as the lower left chamber contracts to pump blood to the body, preventing...
791
01:22Mitral Valve Prolapse II: Assessment and Management
888
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
888