The maythurner syndrome is an anatomic abnormality generating venous insufficiency and recurrent thrombotic episodes of lower limbs. Permissive anomaly old data suggests that women between ages 3050 years are primarily affected new data indicates that its prevalence is more significant than we thought before. Direct contrastenhanced mr venography in the diagnosis of maythurner syndrome european journal of radiology, vol. Abstract iliac vein compression syndrome also known as maythurner syndrome or cocketts syndrome is a rare clinical entity in which the left common iliac vein is compressed when it passes between the right. May thurner syndrome mts is a venous outflow obstruction disorder characterized by compression of the left common iliac vein by an overriding right common iliac artery. Pubmed is a searchable database of medical literature and lists journal articles that discuss maythurner syndrome. We describe an atypical case of may thurner syndrome in a 23yearold woman that. It could make you more likely to have a dvt deep vein. True prevalence of maythurner syndrome is unknown 20% people may have asymptomatic compression. Disclaimer nbca provides the information and materials on this site for general information purposes only. Most patients with this anatomy have no symptoms, but some can develop blood clots in the vein related to this compression. Abstract may thurner syndrome is a clinical condition that results from narrowing of the left common iliac vein lumen due to pressure from the right common iliac artery as it crosses anterior to it. Maythurner syndrome is a condition that causes the left iliac vein in your pelvis to narrow because of pressure from the right iliac artery. Although this syndrome is rare, its prevalence is likely underestimated.
Endovascular venous stenting in maythurner syndrome is technically feasible, and leads to reduction of symptoms in the majority of patients with high patency rates in the mediumterm. The treatment of the syndrome of maythurner has evolved over the last decades, favoring itself the endovascular intervention with angioplasty and stent placement. It is important to recognize that recurrent edema and pain of the left lower limb may be caused by maythurner syndrome, especially in young women, with no other known cause. True prevalence of may thurner syndrome is unknown 20% people may have asymptomatic compression. In 1957, may and thurner described three varieties of intraluminal spurs occurring in the left common iliac vein close to its junction with the inferior vena cava ivc. Click on the link to view a sample search on this topic.
Maythurner syndrome is always the working diagnosis when a patient presents with unilateral left lower limb swelling without signs of infection. Dvt is a blood clot that may partially or completely block blood flow through the vein. The sustained compression and trauma caused by the pulsatile force of the artery on the vein damage the intima. Comprehensive mdct evaluation of patients with suspected. The left iliac vein is the main vein in your left leg. Abstract maythurner syndrome is a clinical condition that results from narrowing of the left common iliac vein lumen due to pressure from the right common iliac artery as it crosses anterior to it. Maythurner syndrome mts overview iliac vein compression syndrome this overview was generously submitted to clotcare by phyllis hayes. You should not rely on the information provided as a substitute for actual professional medical advice, care, or treatment. Maythurner syndrome, also known as iliac vein compression syndrome or cocketts syndrome, affects two blood vessels that go to your legs. Maythurner syndrome mts is an anatomically variable condition of venous outflow obstruction caused by extrinsic compression. The case of a 29 years old patient with clinical picture of recurrent deep venous thrombosis in lower limbs since the age of 20 years is presented.
The purpose of this essay is to introduce the mdct protocol and interpretation techniques for optimal evaluation of patients with suspected maythurner syndrome. Furthermore, the correct diagnosis of maythurner syndrome prevents the development of thromboembolic events. Virchow was the first in 1851 to observe that iliofemoral dvt was 5 times more likely to occur in the left leg as compared to the right leg. Maythurner syndrome as a cause of neurovascular compression of. It is characterized by compression of the left common iliac vein by the right common iliac artery and, when such anatomical change causes symptoms that may impair the patients quality of life, surgical treatment is indicated. Maythurner syndrome mts is caused when the left iliac vein is compressed by the right iliac artery, which increases the risk of deep vein thrombosis dvt in the left extremity. Maythurner syndrome robert p liddell, natalie s evans, 2018. We describe an atypical case of maythurner syndrome in. Maythurner syndrome is a condition in which iliofemoral deep venous thrombosis dvt are developed.
Maythurner syndrome mts is an uncommon cause of venous obstruction related to focal external compression, it is characterized by compression of the left common iliac vein by the right common iliac artery and, when such anatomical change causes symptoms that may impair the patients health related quality of life, treatment is indicated 15. Iliac vein compression syndrome also known as maythurner syndrome or cocketts syndrome is a rare clinical entity in which the left common iliac vein is compressed when it passes between the right common iliac artery and the spine. Maythurner syndrome is a condition in which there is impaired venous return due to compression of the left common iliac vein by the overlying right common iliac artery. This is obtained due to anatomical abnormality causes the right common iliac artery lies on the upper surface and constricting the.
Maythurner syndrome is an uncommon cause of venous symptoms and signs related to the left lower limb. Cocketts syndrome, maythurner syndrome, or iliac vein compression syndrome. Iliac vein compression syndrome also known as may thurner syndrome or cocketts syndrome is a rare clinical entity in which the left common iliac vein is compressed when it passes between the right common iliac artery and the spine. New generation venous stent to treat maythurner syndrome.
373 763 711 336 37 6 474 1225 785 1506 647 253 110 616 284 173 1095 26 1311 1661 599 1287 1215 580 1063 198 1217 291 442 1123 102 1 545 859 141 373 1367 480 651 1245 916 191 782 1250 280 1142 791 1050 1460 849