May-Thurner syndrome is not only a left-sided condition–Consideration of venous anatomical variations

Autor: Jacqueline Xu, Ahmad Alach, Jason Behseresht, Jeffrey Hsu, Majid Tayyarah, Trung Vo, Iden Andacheh
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Annals of Vascular Surgery - Brief Reports and Innovations, Vol 3, Iss 4, Pp 100235- (2023)
Druh dokumentu: article
ISSN: 2772-6878
DOI: 10.1016/j.avsurg.2023.100235
Popis: May Thurner Syndrome (MTS11 The abbreviation “MTS” will refer to May Thurner Syndrome throughout this manuscript.) was historically described as a cause of left-sided DVT, but case reports of MTS venous anomalies have highlighted variations in clinical presentation. This case describes a 39-year-old woman who presented with unilateral right leg swelling and redness, found to be ‘right-sided’ MTS. Diagnostic imaging revealed right deep vein thrombosis (DVT), caused by compression of the right common iliac vein from tributaries of an anatomically aberrant left-sided inferior vena cava. Treatment course was prolonged by patient desire for additional time to weigh options; ultimately she developed re-thrombosis of the iliac vein with subsequent right iliac vein stenting. Although MTS may be a less common cause of DVT at the population level, this case demonstrates a need to maintain high suspicion for young patients without other clear predisposing factors.
Databáze: Directory of Open Access Journals