Korean J Thorac Cardiovasc Surg.
2009 Oct;42(5):677-683.
Surgical Venous Thrombectomy for Chronic May-Thurner Sysndrome: 2 cases report
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, College of Medicne, Kangwon National University, Korea.
- 2Department of Internal Medicine, College of Medicine, Kangwon National University, Korea. pucco@kangwon.ac.kr
- 3Department of Thoracic and Cardiovascular Surgery, Seoul Paik Hospital, College of Medicne, Inje University, Korea.
- 4Department of Interventional Radiology, College of Medicine, Kangwon National University, Korea.
- 5Department of Anesthesiology and Pain Clinic, College of Medicien, Kangwon National University, Korea.
Abstract
- May-Thurner syndrome is a deep vein thrombosis of the ilio-femoral vein due to compression of the left common iliac vein by the overlying right common iliac artery. Although, catheter directed thrombectomy (CDT) and thrombolysis with stent insertion has become the standard treatment method for acute or subacute May-Thurner syndrome, because of technical feasibility and lower recurrence rate, however, sometimes this methods make fatal complications. Furthermore, there are few reports on optimal treatment strategies for patients in a chronic state of May-Thurner syndrome,. We now present two cases of chronic (>1 month since onset of symptoms) May-Thurner syndrome treated by surgical thrombectomy and femoral arteriovenous shunt with simultaneous stent insertion after failed endovascular treatment. This technique may provide a significant benefit for patients who are not suitable for conventional endovascular treatment.
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