Abstract
May–Thurner syndrome is known as compression of the left common iliac vein by the right common iliac artery. We describe a case of an atypical compression of the inferior vena cava by the right common iliac artery secondary to a high aortic bifurcation. Despite an extensive collateral network, there was a significant venous gradient between the iliac veins and the inferior vena cava above the compression. After stenting the venous pressure gradient disappeared. Follow-up 4 months later revealed a good clinical response with a patent stent.
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References
May R, Thurner J (1957) The cause of the predominantly sinistral occurrence of thrombosis of the pelvic veins. Angiology 8:419–427
Cockett FB, Thomas ML (1965) The iliac compression syndrome. Br J Surg 52:816–821
Taheri SA, Williams J, Powell S et al (1987) Iliocaval compression syndrome. Am J Surg 154:169–172
Heniford BT, Senler SO, Olsofka JM, Carrillo EH, Bergamini TM (1998) May-Thurner syndrome: management by endovascular surgical techniques. Ann Vasc Surg 12:482–486
Patel NH, Stookey KR, Ketcham DB, Cragg AH (2000) Endovascular management of acute extensive iliofemoral deep venous thrombosis caused by May-Thurner syndrome. J Vasc Interv Radiol 11:1297–1302
Baron HC, Shams J, Wayne M (2000) Iliac vein compression syndrome: a new method of treatment. Am Surg 66:653–655
Berger A, Jaffe JW (1995) Iliac compression syndrome treated with stent placement. J Vasc Surg 21:510–514
Buelens C, Vandenbosch G, Stockx L et al (1996) Cockett syndrome: initial results with percutaneous treatment in 6 patients. J Belge Radiol 79:132–135
Lamont JP, Pearl GJ, Patetsios P et al (2002) Prospective evaluation of endoluminal venous stents in the treatment of the May-Thurner syndrome. Ann Vasc Surg 16:61–64
O’Sullivan GJ, Semba CP, Bittner CA et al (2000) Endovascular management of iliac vein compression syndrome. J Vasc Interv Radiol 11:823–836
Binkert CA et al (1998) Treatment of pelvic venous spur (May-Thurner syndrome) with self-expanding metallic endoprostheses. Cardiovasc Intervent Radiol 21:22–26
Dheer S, Joseph AE, Drooz A (2003) Retroperitoneal hematoma caused by a ruptured pelvic varix in a patient with iliac vein compression syndrome. JVIR 14:387–390
Steinberg JB, Jacocks MA (1993) May-Thurner syndrome: a previously unreported variant. Ann Vasc Surg 7:577–581
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):291–2922
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Fretz, V., Binkert, C.A. Compression of the Inferior Vena Cava by the Right Iliac Artery: A Rare Variant of May–Thurner Syndrome. Cardiovasc Intervent Radiol 33, 1060–1063 (2010). https://doi.org/10.1007/s00270-009-9671-y
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DOI: https://doi.org/10.1007/s00270-009-9671-y