Skip to main content
Erschienen in: CardioVascular and Interventional Radiology 5/2010

01.10.2010 | Case Report

“Right-Sided” May-Thurner Syndrome

verfasst von: Georges Abboud, Marco Midulla, Christophe Lions, Ziad El Ngheoui, Laurent Gengler, Thomas Martinelli, Jean-Paul Beregi

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 5/2010

Einloggen, um Zugang zu erhalten

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.
Literatur
1.
Zurück zum Zitat Shebel ND, Whalen CC (2005) Diagnosis and management of iliac vein compression syndrome. J Vasc Nurs 23:10–17CrossRefPubMed Shebel ND, Whalen CC (2005) Diagnosis and management of iliac vein compression syndrome. J Vasc Nurs 23:10–17CrossRefPubMed
2.
Zurück zum Zitat May R, Thurner J (1957) The cause of predominantly sinistral occurrence of thrombosis of the pelvic veins. Angiology 8:419–427CrossRefPubMed May R, Thurner J (1957) The cause of predominantly sinistral occurrence of thrombosis of the pelvic veins. Angiology 8:419–427CrossRefPubMed
3.
Zurück zum Zitat 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 28:492–497CrossRefPubMed 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 28:492–497CrossRefPubMed
4.
Zurück zum Zitat 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 11:823–836CrossRefPubMed 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 11:823–836CrossRefPubMed
5.
Zurück zum Zitat 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 40:604–611CrossRefPubMed 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 40:604–611CrossRefPubMed
6.
Zurück zum Zitat 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 56:428–431CrossRef 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 56:428–431CrossRef
7.
Zurück zum Zitat Kibbe MR, Ujiki M, Goodwin AL, Eskandari M, Yao J, Matsumura J (2004) Iliac vein compression in an asymptomatic patient population. J Vasc Surg 39:937–943CrossRefPubMed Kibbe MR, Ujiki M, Goodwin AL, Eskandari M, Yao J, Matsumura J (2004) Iliac vein compression in an asymptomatic patient population. J Vasc Surg 39:937–943CrossRefPubMed
8.
Zurück zum Zitat 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 69:269–272CrossRefPubMed 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 69:269–272CrossRefPubMed
9.
Zurück zum Zitat Ferris EJ, Lim WN, Smith PL, Casali R (1983) May-Thurner syndrome. Radiology 147:29–31PubMed Ferris EJ, Lim WN, Smith PL, Casali R (1983) May-Thurner syndrome. Radiology 147:29–31PubMed
10.
Zurück zum Zitat Cil BE, Akpinar E, Karcaaltincaba M, Akinci D (2004) May-Thurner syndrome. Radiology 233:361–365CrossRefPubMed Cil BE, Akpinar E, Karcaaltincaba M, Akinci D (2004) May-Thurner syndrome. Radiology 233:361–365CrossRefPubMed
11.
Zurück zum Zitat 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 40:612–619CrossRefPubMed 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 40:612–619CrossRefPubMed
12.
Zurück zum Zitat 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 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
13.
Zurück zum Zitat 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 21:22–26CrossRef 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 21:22–26CrossRef
14.
Zurück zum Zitat 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 1:1297–1302CrossRef 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 1:1297–1302CrossRef
15.
Zurück zum Zitat Steinberg JB, Jacocks MA (1993) May-Thurner syndrome: a previously unreported variant. Ann Vasc Surg 7:577–581CrossRefPubMed Steinberg JB, Jacocks MA (1993) May-Thurner syndrome: a previously unreported variant. Ann Vasc Surg 7:577–581CrossRefPubMed
16.
Zurück zum Zitat 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 95:167–170PubMed 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 95:167–170PubMed
17.
Zurück zum Zitat 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 16:61–64CrossRefPubMed 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 16:61–64CrossRefPubMed
18.
Zurück zum Zitat O’Donnell TF, Browse NL, Burnand KG, Thomas ML (1977) The socioeconomic effects of iliofemoral venous thrombosis. J Surg Res 22:483–488CrossRefPubMed O’Donnell TF, Browse NL, Burnand KG, Thomas ML (1977) The socioeconomic effects of iliofemoral venous thrombosis. J Surg Res 22:483–488CrossRefPubMed
19.
Zurück zum Zitat Hassel DR, Reifsteck JE, Harshfield DL (1987) Unilateral left leg edema: a variation of the May-Thurner syndrome. Cardiovasc Interv Radiol 10:89–91CrossRef Hassel DR, Reifsteck JE, Harshfield DL (1987) Unilateral left leg edema: a variation of the May-Thurner syndrome. Cardiovasc Interv Radiol 10:89–91CrossRef
20.
Zurück zum Zitat 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):291–292CrossRefPubMed 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):291–292CrossRefPubMed
21.
Zurück zum Zitat 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 30:1–7CrossRef 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 30:1–7CrossRef
22.
Zurück zum Zitat Hurst DR, Forauer AR, Bloom JR, Grennfield LJ, Wakefield TW, Williams DM (2001) Diagnosis and endovascular treatment of iliocaval compression syndrome. J Vasc Surg 34:106–113CrossRefPubMed Hurst DR, Forauer AR, Bloom JR, Grennfield LJ, Wakefield TW, Williams DM (2001) Diagnosis and endovascular treatment of iliocaval compression syndrome. J Vasc Surg 34:106–113CrossRefPubMed
23.
Zurück zum Zitat 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 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
Metadaten
Titel
“Right-Sided” May-Thurner Syndrome
verfasst von
Georges Abboud
Marco Midulla
Christophe Lions
Ziad El Ngheoui
Laurent Gengler
Thomas Martinelli
Jean-Paul Beregi
Publikationsdatum
01.10.2010
Verlag
Springer-Verlag
Erschienen in
CardioVascular and Interventional Radiology / Ausgabe 5/2010
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-009-9654-z

Weitere Artikel der Ausgabe 5/2010

CardioVascular and Interventional Radiology 5/2010 Zur Ausgabe

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

S3-Leitlinie zu Pankreaskrebs aktualisiert

23.04.2024 Pankreaskarzinom Nachrichten

Die Empfehlungen zur Therapie des Pankreaskarzinoms wurden um zwei Off-Label-Anwendungen erweitert. Und auch im Bereich der Früherkennung gibt es Aktualisierungen.

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

18.04.2024 Pädiatrische Notfallmedizin Nachrichten

Im Choosing-Wisely-Programm, das für die deutsche Initiative „Klug entscheiden“ Pate gestanden hat, sind erstmals Empfehlungen zum Umgang mit Notfällen von Kindern erschienen. Fünf Dinge gilt es demnach zu vermeiden.

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

13.04.2024 Klinik aktuell Kongressbericht

Die Teilnehmer eines Forums beim DGIM-Kongress waren sich einig: Fehler in der Medizin sind häufig in ungeeigneten Prozessen und mangelnder Kommunikation begründet. Gespräche mit Patienten und im Team können helfen.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.