Korean J Thorac Cardiovasc Surg.  2003 Mar;36(3):202-205.

May-Thurner Syndrome Treated with Endovascular Wall Stent

• Yoon YS
• Won JH
• Choi H
• Soh DM
• Lee CJ
• Kim HT

Abstract

Deep vein thrombosis (DVT) is a common disease. However, May-Thurner syndrome, which is the cause of DVT, is an uncommon processes in which there is an impaired venous return due to compression of the left iliac vein by the overlying right common artery. This condition results in a left iliofemoral deep thrombosis and severe leg edema. It is, therefore, called iliac compression syndrome. Catheter-directed thrombolytic therapy of acute extensive iliofemoral DVT and balloon angioplasty with venous stenting are recommended. Two cases with history of left leg swelling are diagnosed as May-Thurner syndrome, which was demonstrated by venography. We successfully treated the patients with thrombolysis, balloon angioplasty, and stent insertion at the site of common iliac vein compression. Therefore, we report the cases with overall review of the literature.

Keyword

Deep vein thrombosis; Thrombolysis; Stents

MeSH Terms

Angioplasty, Balloon
Arteries
Edema
Humans
Iliac Vein
Leg
May-Thurner Syndrome*
Phlebography
Stents*
Thrombolytic Therapy
Thrombosis
Venous Thrombosis