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“Right-Sided” May-Thurner Syndrome

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Abstract

The May-Thurner syndrome is a well-known anatomical anomaly where the left common iliac vein (LCIV) is compressed between the right common iliac artery and the fifth vertebral body. This report describes the case of a “right-sided” May-Thurner syndrome where the right common iliac vein (RCIV) is compressed by the left common iliac artery in a patient with a left-sided inferior vena cava (IVC). A 26-year-old woman was admitted to our institution with acute edema of the right lower limb. The diagnosis of May-Thurner syndrome was done by CT scan and confirmed by phlebography. An endovascular treatment with stenting was carried out, with good patency and clinical result at 12-month follow-up.

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References

  1. Shebel ND, Whalen CC (2005) Diagnosis and management of iliac vein compression syndrome. J Vasc Nurs 23:10–17

    Article  PubMed  Google Scholar 

  2. May R, Thurner J (1957) The cause of predominantly sinistral occurrence of thrombosis of the pelvic veins. Angiology 8:419–427

    Article  CAS  PubMed  Google Scholar 

  3. Mickley V, Schwagierek R, Rilinger N, Görich J, Plassmann LS (1998) Left iliac venous thrombosis caused by venous spur: treatment with thrombectomy and stent implantation. J Vasc Surg 28:492–497

    Article  CAS  PubMed  Google Scholar 

  4. O’Sullivan GJ, Semba CP, Bittner CA, Kee ST, Razavi MK, Sze DY, Dake MD (2000) Endovascular management of iliac compression (May-Thurner) syndrome. J Vasc Interv Radiol 11:823–836

    Article  PubMed  Google Scholar 

  5. Fraser DG, Moody AR, Martel A, Morgan PS (2004) Re-evaluation of iliac compression syndrome using magnetic resonance imaging in patients with acute deep venous thrombosis. J Vasc Surg 40:604–611

    Article  PubMed  Google Scholar 

  6. Telian SH, Tretter JF, Watabe JT, Yeager TD, Gillespie DL, Cordts PR (1999) May-Thurner syndrome: five patients treated by catheter-directed thrombolysis and stent placement. Curr Surg 56:428–431

    Article  Google Scholar 

  7. Kibbe MR, Ujiki M, Goodwin AL, Eskandari M, Yao J, Matsumura J (2004) Iliac vein compression in an asymptomatic patient population. J Vasc Surg 39:937–943

    Article  PubMed  Google Scholar 

  8. Kishi K, Homma S, Kawabata M, Tsuboi E, Narui K, Nakatani T, Nakata K (2002) Pulmonary emboli caused by iliac compression syndrome without leg symptoms. Respiration 69:269–272

    Article  PubMed  Google Scholar 

  9. Ferris EJ, Lim WN, Smith PL, Casali R (1983) May-Thurner syndrome. Radiology 147:29–31

    CAS  PubMed  Google Scholar 

  10. Cil BE, Akpinar E, Karcaaltincaba M, Akinci D (2004) May-Thurner syndrome. Radiology 233:361–365

    Article  PubMed  Google Scholar 

  11. Fraser DG, Moody AR, Morgan PS, Martel A (2004) Iliac compression syndrome and recanalisation of femoropopliteal and iliac venous thrombosis: a prospective study with magnetic resonance venography. J Vasc Surg 40:612–619

    Article  PubMed  Google Scholar 

  12. Heijmen RH, Bollen TL, Duyndam DAC, Overtoom TTC, Van Den Berg JC, Moll FL (2001) Endovascular venous stenting in May-Thurner syndrome. J Cardiovasc Surg 42:83–87

    CAS  Google Scholar 

  13. Binkert CA, Schoch E, Stuckmann G, Largiader J, Wigger P, Schoepke W, Zollikofer CL (1998) Treatment of pelvic venous spur (May-Thurner syndrome) with self-expanding metallic endoprotheses. Cardiovasc Interv Radiol 21:22–26

    Article  CAS  Google Scholar 

  14. Patel NH, Stookey RK, Ketcham DB, Cragg AH (2000) Endovascular management of acute extensive iliofémorale deep venous thrombosis caused by May-Thurner syndrome. J Vasc Interv Radiol 1:1297–1302

    Article  Google Scholar 

  15. Steinberg JB, Jacocks MA (1993) May-Thurner syndrome: a previously unreported variant. Ann Vasc Surg 7:577–581

    Article  CAS  PubMed  Google Scholar 

  16. Tatou E, Cercueil JP, Terriat B, Steinmetz E, Becker F, Krause D, Brenot R, David M (2002) Suivi à 4 ans des endoprothèses veineuses iliaques dans le syndrome de Cockett compliqué. Arch Mal Cœur 95:167–170

    CAS  PubMed  Google Scholar 

  17. Lamont JP, Pearl GJ, Patetsios P, Warner MT, Gable DR, Garrett W, Grimsley B, Smith BI, Shutze WP (2002) Prospective evaluation of endoluminal venous stents in the treatment of the May-Thurner Syndrome. Ann Vasc Surg 16:61–64

    Article  PubMed  Google Scholar 

  18. O’Donnell TF, Browse NL, Burnand KG, Thomas ML (1977) The socioeconomic effects of iliofemoral venous thrombosis. J Surg Res 22:483–488

    Article  PubMed  Google Scholar 

  19. Hassel DR, Reifsteck JE, Harshfield DL (1987) Unilateral left leg edema: a variation of the May-Thurner syndrome. Cardiovasc Interv Radiol 10:89–91

    Article  Google Scholar 

  20. Molloy S, Jacob S, Buckenham T, Kham KT, Taylor RS (2002) Arterial compression of the right common iliac vein; an unusual anatomical variant. Cardiovasc Surg 10(3):291–292

    Article  CAS  PubMed  Google Scholar 

  21. Sillesen H, Just S, Jorgensen M, Baekgaard N (2005) Catheter directed thrombolysis for treatment of ilio-femoral deep venous thrombosis is durable, preserves venous valve function and may prevent chronic venous insufficiency. Eur J Endovasc Surg 30:1–7

    Article  Google Scholar 

  22. Hurst DR, Forauer AR, Bloom JR, Grennfield LJ, Wakefield TW, Williams DM (2001) Diagnosis and endovascular treatment of iliocaval compression syndrome. J Vasc Surg 34:106–113

    Article  CAS  PubMed  Google Scholar 

  23. Henderson AM, McIntyre KE, Hunter GC, Walser E, Schaper D (1998) May-Thurner syndrome: three patients treated with catheter-directed thrombolysis and stent placement. Vasc Surg 32:439–446

    Google Scholar 

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Correspondence to Georges Abboud.

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Abboud, G., Midulla, M., Lions, C. et al. “Right-Sided” May-Thurner Syndrome. Cardiovasc Intervent Radiol 33, 1056–1059 (2010). https://doi.org/10.1007/s00270-009-9654-z

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  • DOI: https://doi.org/10.1007/s00270-009-9654-z

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