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Extensive Lower-Extremity Deep Venous Thrombosis Following Arthroscopic Anterior Cruciate Ligament Reconstruction

Jeffrey Ackerman1, Michael D Kurdziel2, Nicholas T Dutcheshen1

  • 1Department of Orthopaedic Surgery, Beaumont Health System, 3535 West 13 Mile Road, Suite 744, Royal Oak, MI 48073.

JBJS Case Connector
|December 19, 2017
PubMed

Insights

Deep venous thrombosis (DVT) after knee surgery can stem from May-Thurner syndrome. Prompt diagnosis and treatment, including anticoagulation and stenting, are crucial for managing this condition.

Area of Science:

  • Vascular Surgery
  • Orthopedic Surgery
  • Thrombosis Management

Background:

  • May-Thurner syndrome, a condition causing left iliac vein compression, can predispose individuals to deep venous thrombosis (DVT).
  • Post-thrombotic syndrome is a potential complication of DVT, necessitating effective management strategies.

Purpose of the Study:

  • To report a case of extensive iliofemoral-popliteal DVT secondary to May-Thurner syndrome following arthroscopic anterior cruciate ligament reconstruction.
  • To highlight the importance of a multidisciplinary approach in managing such complex cases.

Main Methods:

  • The patient underwent therapeutic anticoagulation and mechanical thrombus disruption.
  • Angioplasty and stent placement were performed to address focal stenosis in the left common iliac vein.

Main Results:

  • Successful resolution of the deep venous thrombosis was achieved.
  • Repeat venography confirmed no residual stenosis of the treated vein.

Conclusions:

  • This case underscores the necessity of aggressive workup for left-sided DVT in patients with May-Thurner syndrome.
  • A multidisciplinary approach is vital for effective treatment and reducing the risk of post-thrombotic syndrome.
Abstract

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