Abstract
May-Thurner syndrome is known as compression of the left common iliac vein by the right common iliac artery. We describe a case of an atypical compression of the inferior vena cava by the right common iliac artery secondary to a high aortic bifurcation. Despite an extensive collateral network, there was a significant venous gradient between the iliac veins and the inferior vena cava above the compression. After stenting the venous pressure gradient disappeared. Follow-up 4 months later revealed a good clinical response with a patent stent.
MeSH terms
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Angioplasty / instrumentation*
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Angioplasty / methods
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Arteriovenous Malformations / diagnosis
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Arteriovenous Malformations / surgery
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Constriction, Pathologic / diagnosis
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Constriction, Pathologic / surgery
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Contrast Media
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Diagnostic Imaging / methods*
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Female
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Follow-Up Studies
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Humans
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Iliac Artery / abnormalities*
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Iliac Artery / diagnostic imaging
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Imaging, Three-Dimensional / methods
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Magnetic Resonance Angiography / methods
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Middle Aged
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Phlebography / methods
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Radiography, Interventional / methods
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Rare Diseases
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Stents*
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Syndrome
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Tomography, X-Ray Computed / methods
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Treatment Outcome
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Ultrasonography, Doppler / methods
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Vena Cava, Inferior / abnormalities*
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Vena Cava, Inferior / diagnostic imaging
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Vena Cava, Inferior / surgery