May-Thurner Syndrome with Large Abdominal Varicosity, Treated Successfully Using Multiple Approaches
May-Thurner syndrome (MTS) is a venous outflow obstruction disorder characterized by compression of the left common iliac vein by an overriding right common iliac artery. MTS primarily affects young to middle-aged women, although many patients remain entirely asymptomatic. Anatomic variations of MTS...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2019/7079307 |
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| _version_ | 1832550096850386944 |
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| author | Lori Jia Jason Alexander Nedaa Skeik |
| author_facet | Lori Jia Jason Alexander Nedaa Skeik |
| author_sort | Lori Jia |
| collection | DOAJ |
| description | May-Thurner syndrome (MTS) is a venous outflow obstruction disorder characterized by compression of the left common iliac vein by an overriding right common iliac artery. MTS primarily affects young to middle-aged women, although many patients remain entirely asymptomatic. Anatomic variations of MTS, while uncommon, have been described. Treatment usually involves endovascular management, including thrombolysis and/or thrombectomy with or without inferior vena cava filter placement, followed by angioplasty and stenting of the left common iliac vein. We report a unique case of a 31-year-old woman who presented with MTS-related deep vein thrombosis accompanied by symptomatic abdominal and pelvic varicosities. The varicosities were treated successfully using multiple procedures, resulting in complete resolution of all symptoms. Our case discusses a treatment approach for an unusual presentation of MTS-related postthrombotic syndrome, and provides a brief literature review of MTS complications and management. |
| format | Article |
| id | doaj-art-bb957723cee14dcb946302cc95464015 |
| institution | Kabale University |
| issn | 2090-6986 2090-6994 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Vascular Medicine |
| spelling | doaj-art-bb957723cee14dcb946302cc954640152025-02-03T06:07:46ZengWileyCase Reports in Vascular Medicine2090-69862090-69942019-01-01201910.1155/2019/70793077079307May-Thurner Syndrome with Large Abdominal Varicosity, Treated Successfully Using Multiple ApproachesLori Jia0Jason Alexander1Nedaa Skeik2Minneapolis Heart Institute, Minneapolis, MN, USAMinneapolis Heart Institute, Minneapolis, MN, USAMinneapolis Heart Institute, Minneapolis, MN, USAMay-Thurner syndrome (MTS) is a venous outflow obstruction disorder characterized by compression of the left common iliac vein by an overriding right common iliac artery. MTS primarily affects young to middle-aged women, although many patients remain entirely asymptomatic. Anatomic variations of MTS, while uncommon, have been described. Treatment usually involves endovascular management, including thrombolysis and/or thrombectomy with or without inferior vena cava filter placement, followed by angioplasty and stenting of the left common iliac vein. We report a unique case of a 31-year-old woman who presented with MTS-related deep vein thrombosis accompanied by symptomatic abdominal and pelvic varicosities. The varicosities were treated successfully using multiple procedures, resulting in complete resolution of all symptoms. Our case discusses a treatment approach for an unusual presentation of MTS-related postthrombotic syndrome, and provides a brief literature review of MTS complications and management.http://dx.doi.org/10.1155/2019/7079307 |
| spellingShingle | Lori Jia Jason Alexander Nedaa Skeik May-Thurner Syndrome with Large Abdominal Varicosity, Treated Successfully Using Multiple Approaches Case Reports in Vascular Medicine |
| title | May-Thurner Syndrome with Large Abdominal Varicosity, Treated Successfully Using Multiple Approaches |
| title_full | May-Thurner Syndrome with Large Abdominal Varicosity, Treated Successfully Using Multiple Approaches |
| title_fullStr | May-Thurner Syndrome with Large Abdominal Varicosity, Treated Successfully Using Multiple Approaches |
| title_full_unstemmed | May-Thurner Syndrome with Large Abdominal Varicosity, Treated Successfully Using Multiple Approaches |
| title_short | May-Thurner Syndrome with Large Abdominal Varicosity, Treated Successfully Using Multiple Approaches |
| title_sort | may thurner syndrome with large abdominal varicosity treated successfully using multiple approaches |
| url | http://dx.doi.org/10.1155/2019/7079307 |
| work_keys_str_mv | AT lorijia maythurnersyndromewithlargeabdominalvaricositytreatedsuccessfullyusingmultipleapproaches AT jasonalexander maythurnersyndromewithlargeabdominalvaricositytreatedsuccessfullyusingmultipleapproaches AT nedaaskeik maythurnersyndromewithlargeabdominalvaricositytreatedsuccessfullyusingmultipleapproaches |