scholarly journals May–Thurner syndrome causing deep vein thrombosis in the postoperative patient

2021 ◽  
Vol 10 (7) ◽  
pp. 2899
Author(s):  
Ashwini Vishalakshi L. ◽  
Meenakshi V. ◽  
Amritha Ganesh ◽  
Pallavee P.
Keyword(s):  
Deep Vein Thrombosis ◽  
Common Iliac Artery ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Iliac Vein ◽  
Common Iliac Vein ◽  
Postoperative Patient ◽  
Anatomical Variant ◽  
Vein Thrombosis ◽  
Deep Vein

May–Thurner syndrome is a rare cause of left iliac deep vein thrombosis due to an anatomical variant in which right common iliac artery overlies and compresses left common iliac vein against lumbar spine. Patients with May–Thurner syndrome usually present in their 2nd to 4th decade of life. Pregnancy and intra-abdominal surgeries are known precipitating factors in acute May–Thurner syndrome. We report the case of a woman in her 3rd decade of life who presented with May–Thurner syndrome following total abdominal hysterectomy. This case report hopes to bring attention to the high variant of patient population with May–Thurner syndrome and the necessity for surgical intervention of stent placement to prevent recurrence.

scholarly journals Treatment of Deep Vein Thrombosis in May–Thurner's Syndrome with a Novel Oral Anticoagulant: A Case Report

2018 ◽  
Vol 28 (04) ◽  
pp. 262-266
Author(s):  
Toh Ching Han ◽  
Ashish Anil Sule
Keyword(s):  
Deep Vein Thrombosis ◽  
Case Report ◽  
Oral Anticoagulants ◽  
Lumbar Vertebrae ◽  
Iliac Vein ◽  
Postthrombotic Syndrome ◽  
Common Iliac Vein ◽  
Anatomical Variant ◽  
Vein Thrombosis ◽  
Deep Vein

May–Thurner's syndrome (MTS) is an anatomical variant where the left common iliac vein (CIV) is compressed by the overlying right common iliac artery and the underlying lumbar vertebrae, leading to stenosis in the left CIV. Endovascular intervention followed by anticoagulation currently constitute the mainstay of management of MTS associated with recurrent deep vein thrombosis (DVT).Warfarin appears to be the anticoagulant of choice in most studies conducted in patients with MTS. There is little evidence of treatment using nonvitamin K oral anticoagulants. This case report serves to describe a patient with MTS who was successfully treated with catheter-directed therapy followed by anticoagulation using rivaroxaban.A 64-year-old women presented with left lower limb swelling. Her duplex ultrasound and computed tomography (CT) showed extensive DVT and underlying narrowing of the left CIV, respectively.She underwent catheter-directed therapy, involving stent placement in the left CIV, and was subsequently started on rivaroxaban. She developed partial thrombosis of the external iliac vein at 5 months postprocedure and partial stent thrombosis at 1 year postprocedure while on rivaroxaban, requiring repeat stenting and continuation of anticoagulation. On follow-up, there was no recurrence of symptoms related to MTS, no postthrombotic syndrome, and no clinically significant bleeding as a side effect of rivaroxaban.This case report shows that rivaroxaban is a safe agent that can be successfully used in the treatment of MTS after stenting.

scholarly journals Percutaneous thrombectomy using a novel single session device for acute iliofemoral deep vein thrombosis

VASA ◽  
2021 ◽  
Vol 50 (1) ◽  
pp. 74-77
Author(s):  
Gerard O’Sullivan
Keyword(s):  
Deep Vein Thrombosis ◽  
Iliac Vein ◽  
Left Thigh ◽  
Common Iliac Vein ◽  
Single Session ◽  
Venous Thrombectomy ◽  
Vein Thrombosis ◽  
Left Common Iliac Vein ◽  
Deep Vein ◽  
Percutaneous Thrombectomy

Summary: A 74-year-old woman presented with acute symptomatic left thigh and calf swelling; imaging demonstrated evidence of occlusive thrombosis from the upper left common iliac vein to the mid-thigh. Single session zero-thrombolysis venous thrombectomy was performed using the ReVeneTM Thrombectomy Catheter.

scholarly journals Stenting of Common Iliac Vein Obstructions Combined with Regional Thrombolysis and Thrombectomy in Acute Deep Vein Thrombosis

2007 ◽  
Vol 46 (1) ◽  
pp. 174-175
Author(s):  
M.J. Husmann ◽  
G. Heller ◽  
C. Kalka ◽  
H. Savolainen ◽  
D.D. Do ◽  
...  
Keyword(s):  
Deep Vein Thrombosis ◽  
Iliac Vein ◽  
Common Iliac Vein ◽  
Vein Thrombosis ◽  
Acute Deep Vein Thrombosis ◽  
Deep Vein

Common iliac vein stenosis: a risk factor for oral contraceptive-induced deep vein thrombosis

2011 ◽  
Vol 205 (6) ◽  
pp. 537.e1-537.e6 ◽  
Author(s):  
Keith T. Chan ◽  
Grace A. Tye ◽  
Rita A. Popat ◽  
William T. Kuo ◽  
Kamil Unver ◽  
...  
Keyword(s):  
Risk Factor ◽  
Deep Vein Thrombosis ◽  
Oral Contraceptive ◽  
Iliac Vein ◽  
Common Iliac Vein ◽  
Vein Thrombosis ◽  
Vein Stenosis ◽  
Deep Vein

Ilio-Femoral Deep Vein Thrombosis Secondary to May-Thurner Syndrome With Ipsilateral Lower Limb Arterio-Venous Graft In-Situ

2021 ◽  
pp. 153857442199478
Author(s):  
Brjan Kaiji Betzler ◽  
Li zhang ◽  
Kai Siang Chan ◽  
Enming Yong ◽  
Ivan Kuang Hsin Huang ◽  
...  
Keyword(s):  
Deep Vein Thrombosis ◽  
Lower Limb ◽  
Duplex Ultrasound ◽  
Iliac Vein ◽  
Common Iliac Vein ◽  
Arteriovenous Graft ◽  
Vein Thrombosis ◽  
Catheter Directed Thrombolysis ◽  
Deep Vein

Ilio-femoral deep vein thrombosis (DVT) is rare in patients with lower limb arterio-venous grafts due to a state of high blood flow. May-Thurner syndrome (MTS) is an anomaly where the left common iliac vein is compressed by the right common iliac artery. We present a rare case of ilio-femoral deep vein thrombosis in a patient with May-Thurner Syndrome and an underlying arteriovenous graft in-situ who presented with acute lower limb swelling. The patient underwent catheter-directed thrombolysis, pharmaco-mechanical thrombectomy, venoplasty and iliac vein stenting. Follow-up surveillance duplex ultrasound showed patency of the iliac vein stent and arteriovenous graft at 1-year postoperatively.

scholarly journals Nonnegligible causes of symptoms of acute lower extremities——3 cases of May-Thurner syndrome with deep vein thrombosis

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Yi Sun ◽  
Shenghan Song
Keyword(s):  
Computed Tomography ◽  
Deep Vein Thrombosis ◽  
Iliac Vein ◽  
Lower Limbs ◽  
Common Iliac Vein ◽  
Vein Thrombosis ◽  
Left Common Iliac Vein ◽  
Catheter Directed Thrombolysis ◽  
The Right ◽  
Deep Vein

Background May-Thurner syndrome is a kind of disease caused by the compression of the left common iliac vein. It is one of the causes of incomplete venous valves and superficial varicose veins in lower limbs, and is also a potential factor of acute deep vein thrombosis (DVT). Method Here 3 cases are diagnosed as May-Thurner syndrome at different ages. Case presentations 1. A 35-year-old female patient was hospitalized with swelling of the left lower limb for 1 week. Computed tomography (CT) showed compression of the left common iliac vein with thrombosis. May-Thurner syndrome was diagnosed and catheter-directed thrombolysis was performed. 2. A 37-year-old male patient came to our hospital due to sudden swelling of the right lower extremity and pain for 3 days. Computed tomography showed compression of the left common iliac vein and deep venous thrombosis (DVT) of the right iliac vein. May-Thurner syndrome was diagnosed. The patient was performed with inferior vena cava (IVC) filter implantation, catheter-directed thrombolysis and balloon angioplasty for right iliac vein. And the patient recovered well; 3. A 55-year-old female patient came to our hospital with swelling and discomfort in the left lower extremity for 3 days. Computed tomography showed stenosis of the left common iliac vein with deep vein thrombosis. May-Thurner syndrome was diagnosed, balloon dilation and stent implantation were performed. During 3 years of follow-up, there was no swelling or new thrombosis in her lower limbs. Conclusion When encountering unexplained deep vein thrombosis, iliac vein compression syndrome should be considered and treated in time to prevent the recurrence of thrombosis. Catheter-directed thrombolysis can relieve symptoms and stenting placement is the optimal way to relieve stenosis, supplemented by long-term anticoagulation therapy and graduated compression stockings.

scholarly journals Deep Vein Thrombosis and Pulmonary Embolism in a Woman with Uterine Myoma

1970 ◽  
Vol 23 (2) ◽  
pp. 78-81
Author(s):  
R Nawaz ◽  
S Haque ◽  
K Shaha
Keyword(s):  
Pulmonary Embolism ◽  
Deep Vein Thrombosis ◽  
Anticoagulation Therapy ◽  
Rare Event ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Uterine Myoma ◽  
Uneventful Recovery ◽  
Vein Thrombosis ◽  
Deep Vein

Background:. Deep vein thrombosis and pulmonary embolism are rare complications of uterine myoma. There have been few reports on these associations. Case: A 41 year old para 1+0 presented with 20 weeks size fibroid uterus, which had compressed the pelvic veins and caused unilateral deep vein thrombosis of right leg with subsequent pulmonary embolism. After anticoagulation therapy, a total abdominal hysterectomy was performed, with an uneventful recovery. Conclusion: Although deep vein thrombosis and pulmonary embolism associated with uterine myoma is a rare event, it can be managed successfully with anticoagulants and hysterectomy. A uterine myoma with deep vein thrombosis and pulmonary embolism is an indication for hysterectomy. DOI: 10.3329/bjog.v23i2.4965 Bangladesh J Obstet Gynaecol, 2008; Vol. 23(2) : 78-81

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