May‐Thurner Syndrome – Diagnostic and therapeutic dilemmas
Journal Title: Journal of Rare Cardiovascular Diseases - Year 2019, Vol 4, Issue 1
Abstract
May‐Thurner Syndrome is a rare vascular disease in which the right common iliac artery compresses the left common iliac vein. It occurs 5 times more often in women than in men, usually in their 20s and 40s. Patients suffer from deep vein thrombosis, post‐thromboticsyndrome, and pulmonary embolism. They usually present with swelling of the left leg, chronic leg pain, skin colour changes, tingling and/or numbness of the affected limb, varicosities, phlebitis, and venous stasis ulcers. Available diagnostic tests include venous duplex ultrasound, computed tomography, magnetic resonance imaging, venography, and intravascular ultrasound. Endovascular therapy, including angioplasty, stenting, and catheter‐directed thrombolysis is the current mainstay of treatment. Long‐term anticoagulation and elastic compression stockings are used to prevent recurrent blood clot formation and decrease the risk of post‐thrombotic syndrome. Thrombophilia screening is essential, as it would aid in the decision‐making process regarding continuation of anticoagulant therapy. We present the case of a 38‐year‐old woman in her fourth pregnancy, presenting with persistent left leg oedema and recurrent deep vein thrombosis, eventually diagnosed with May‐Thurner Syndrome. JRCD 2018; 4 (1): 22–25
Authors and Affiliations
Anna Szyszkowska, Marcin Giaro, Piotr Lisowski, Rafał Maciąg
Keywords
Related Articles
- EP ID EP564451
- DOI 10.2041/jrcd.vol4no1.353
- Views 72
- Downloads 0
Current views on the use of interferons in the treatment of polycythaemia vera
Interferon alpha is a molecule associated with stimulation of immune system cells, resulting in an anti‐proliferative and immunomodulatory effect. It has been demonstrated that interferon reduces the number of platelets,...
Report from the 66th American College of Cardiology Congress 2016 in Washington, DC, USA
N/A
May‐Thurner Syndrome – Diagnostic and therapeutic dilemmas
May‐Thurner Syndrome is a rare vascular disease in which the right common iliac artery compresses the left common iliac vein. It occurs 5 times more often in women than in men, usually in their 20s and 40s. Patients suff...
JRCD: a means to improve standards of care in rare cardiovascular diseases
Dear Friends and Colleagues, Dear Readers, I hope you will not mind me starting this Editorial with addressing, at first, Friends and Colleagues. This reflects the spirit of our new Journal. Our Friends and Colleagues ha...
Foetal 2:1 atrioventricular block in a patient with Timothy syndrome (LQT8)
Long QT syndrome (LQTS) may be a cause of foetal bradyarrhythmia and an important cause of death in children with arrhythmia. We present the case of a patient of Kadazan Iban descent with LQTS. He was detected prenatally...