May-Thurner Syndrome

  • Albeir Y. Mousa


May-Thurner syndrome (MTS) is an anatomic variable condition of venous outflow obstruction, secondary to extrinsic compression. Although this syndrome is rare, its prevalence is likely underestimated. The pathology of this condition is secondary to a partial obstruction of the vein by an overlying artery with subsequent entrapment of the left common iliac vein. Regardless of the mechanism, this causes partial or complete impedance to the iliac vein outflow with subsequent possible obstruction and extensive ipsilateral deep vein thrombosis (DVT) of the ipsilateral extremity. Clinical presentations include, but are not limited to, pain, swelling, venous stasis ulcers, and skin discolorations. With extensive DVT, postphlebitic syndrome – with all of its sequelae – may develop as well. Treatment is based on the clinical presentation. In cases of extensive DVT with MTS, therapy includes staged thrombolysis with prophylactic retrievable inferior vena cava (IVC) filter placement, followed by angioplasty/stenting of the left iliac vein.


Deep Vein Thrombosis Inferior Vena Cava Iliac Vein Common Iliac Vein Chronic Venous Insufficiency 
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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Albeir Y. Mousa
    • 1
  1. 1.Department of Surgery, Robert C. Byrd Health Sciences CenterWest Virginia UniversityCharlestonUSA

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