Deep Vein Thrombosis of the Left Leg: A Case of May-Thurner Syndrome

Desai, Jiten and Desai, Zalak and Shah, Jay and Hai, Ofek and Mignatti, Andrea and Zeltser, Roman and Makaryus, Amgad (2018) Deep Vein Thrombosis of the Left Leg: A Case of May-Thurner Syndrome. European Journal of Case Reports in Internal Medicine, 5 (4). ISSN 2284-2594

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A 56-year-old woman presented with gradually worsening shortness of breath associated with dull left leg pain over 5 days. She denied any recent travel, recent surgeries or immobilization. CT pulmonary angiography and CT venography revealed multiple bilateral pulmonary emboli and extensive left pelvic and left lower extremity deep vein thromboses. Contrast-enhanced CT showed that the right common iliac artery crossed the left common iliac vein and compressed it externally, indicative of May–Thurner syndrome. Catheter-directed thrombolysis of the left lower extremity was performed and heparin infusion was started. The patient also underwent left iliac vein balloon angioplasty with stenting and infra-renal inferior vena cava filter placement via the jugular approach to prevent further embolization.

Item Type: Article
Uncontrolled Keywords: May–Thurner syndrome, deep venous thrombosis, left common iliac vein, catheter-directed venous thrombolysis, balloon angioplasty, stent
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale)
Depositing User: Chiara D'Arpa
Date Deposited: 24 May 2018 12:50
Last Modified: 24 May 2018 12:50

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