Korean J Crit Care Med.
2008 Dec;23(2):115-119. 10.4266/kjccm.2008.23.2.115.
Perioperative Management for the Patient with May-Thurner Syndrome: A Case Report
- Affiliations
-
- 1Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Anyang, Korea. agnetask@yahoo.co.kr
- 2Department of Cardiovascular and Thoracic Surgery, College of Medicine, Hallym University, Anyang, Korea.
- KMID: 2228405
- DOI: http://doi.org/10.4266/kjccm.2008.23.2.115
Abstract
- May-Thurner syndrome is an anatomic variant in which the left common iliac vein is compressed by the right common iliac artery. The most frequent clinical presentation is deep vein thrombosis of the left lower extremity. We report the perioperative management in a patient with May-Thurner syndrome undergoing an open reduction of a tibia fracture. The patient developed deep vein thrombosis of the left lower extremity and had an endovascular stent placed approximately 1 year earlier. An important aspect of the perioperative management in a patient with May-Thurner syndrome is to prevent deep vein thrombosis. We monitored the activated clotting time during the intraoperative period.
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