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May-Thurner Syndrome Treated with Endovascular Wall Stent - Report of two cases -  

Yoon, You-Sang (Dept. of Thoracic and Cardiovascular Surgery, Ajou University, School of Medicine)
Won, Je-Hwan (Dept. of Diagnostic Radiology, Ajou University School of Medicine)
Choi, Ho (Dept. of Thoracic and Cardiovascular Surgery, Ajou University, School of Medicine)
Soh, Dong-Mun (Dept. of Thoracic and Cardiovascular Surgery, Ajou University, School of Medicine)
Lee, Cheol-Joo (Dept. of Thoracic and Cardiovascular Surgery, Ajou University, School of Medicine)
Kim, Hyung-Tae (Dept. of Thoracic and Cardiovascular Surgery, Ajou University, School of Medicine)
Publication Information
Journal of Chest Surgery / v.36, no.3, 2003 , pp. 202-205 More about this Journal
Abstract
Deep vein thrombosis (DVT) is a common disease. However, May-Thurner syndrome, which is the cause of DVT, is an uncommon processes in which there is an impaired venous return due to compression of the left iliac vein by the overlying right common artery. This condition results in a left iliofemoral deep thrombosis and severe leg edema. It is, therefore, called iliac compression syndrome. Catheter-directed thrombolytic therapy of acute extensive iliofemoral DVT and balloon angioplasty with venous stenting are recommended. Two cases with history of left leg swelling are diagnosed as May-Thurner syndrome, which was demonstrated by venography. We successfully treated the patients with thrombolysis, balloon angioplasty, and stent insertion at the site of common iliac vein compression. Therefore, we report the cases with overall review of the literature.
Keywords
Deep vein thrombosis; Thrombolysis; Stents;
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