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Familiar Disposition of May-Thurner Syndrome-A Case Series
Stefanie Nowak1, André Jakob1, Robert Dalla Pozza1
1Department of Paediatric Cardiology and Paediatric Intensive Care, University Hospital, Ludwig-Maximilians-University, 81377 Munich, Germany.
Insights
May-Thurner syndrome, a pelvic vein compression, may have a hereditary component. Thorough family history assessment is crucial for diagnosing and managing this condition, especially in young patients presenting with thrombosis.
Area of Science:
- Vascular Surgery
- Genetics
- Radiology
Background:
- May-Thurner syndrome involves pelvic vein compression, a significant risk factor for thrombus formation.
- Standard diagnosis relies on venography, with endovascular therapy as the primary treatment for symptomatic individuals.
Abstract:
May-Thurner syndrome is a venous compression syndrome of the pelvic vessels that represents a relevant risk factor for thrombus formation. The standard procedure to secure a diagnosis is venography, followed by endovascular therapy as the preferred treatment choice if the patient is symptomatic. In our case series, there are three related patients with May-Thurner syndrome. A 16-year-old female was admitted with pulmonary embolism, dyspnoea and hip pain. The compression syndrome was diagnosed with interventional venography, and the patient received venous stent implantation. Due to her family history, we also suspected her mother to be affected by the syndrome and elucidated the diagnosis shortly afterwards by invasive venography. Subsequently, we examined the patient's 19-year-old brother, and magnetic resonance imaging confirmed May-Thurner syndrome. A similar case series has not been published before. In this case, the family relation indicates a possible hereditary aspect of May-Thurner syndrome. This hypothesis should be the subject of further research. In conclusion, it is essential to assess family history thoroughly when treating patients with May-Thurner syndrome.
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