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Published in: CardioVascular and Interventional Radiology 5/2010

01-10-2010 | Case Report

Compression of the Inferior Vena Cava by the Right Iliac Artery: A Rare Variant of May–Thurner Syndrome

Authors: V. Fretz, C. A. Binkert

Published in: CardioVascular and Interventional Radiology | Issue 5/2010

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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.
Literature
1.
go back to reference May R, Thurner J (1957) The cause of the predominantly sinistral occurrence of thrombosis of the pelvic veins. Angiology 8:419–427CrossRefPubMed May R, Thurner J (1957) The cause of the predominantly sinistral occurrence of thrombosis of the pelvic veins. Angiology 8:419–427CrossRefPubMed
3.
go back to reference Taheri SA, Williams J, Powell S et al (1987) Iliocaval compression syndrome. Am J Surg 154:169–172CrossRefPubMed Taheri SA, Williams J, Powell S et al (1987) Iliocaval compression syndrome. Am J Surg 154:169–172CrossRefPubMed
4.
go back to reference Heniford BT, Senler SO, Olsofka JM, Carrillo EH, Bergamini TM (1998) May-Thurner syndrome: management by endovascular surgical techniques. Ann Vasc Surg 12:482–486CrossRefPubMed Heniford BT, Senler SO, Olsofka JM, Carrillo EH, Bergamini TM (1998) May-Thurner syndrome: management by endovascular surgical techniques. Ann Vasc Surg 12:482–486CrossRefPubMed
5.
go back to reference 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 11:1297–1302CrossRefPubMed 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 11:1297–1302CrossRefPubMed
6.
go back to reference Baron HC, Shams J, Wayne M (2000) Iliac vein compression syndrome: a new method of treatment. Am Surg 66:653–655PubMed Baron HC, Shams J, Wayne M (2000) Iliac vein compression syndrome: a new method of treatment. Am Surg 66:653–655PubMed
7.
go back to reference Berger A, Jaffe JW (1995) Iliac compression syndrome treated with stent placement. J Vasc Surg 21:510–514CrossRefPubMed Berger A, Jaffe JW (1995) Iliac compression syndrome treated with stent placement. J Vasc Surg 21:510–514CrossRefPubMed
8.
go back to reference Buelens C, Vandenbosch G, Stockx L et al (1996) Cockett syndrome: initial results with percutaneous treatment in 6 patients. J Belge Radiol 79:132–135PubMed Buelens C, Vandenbosch G, Stockx L et al (1996) Cockett syndrome: initial results with percutaneous treatment in 6 patients. J Belge Radiol 79:132–135PubMed
9.
go back to reference 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 16:61–64CrossRefPubMed 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 16:61–64CrossRefPubMed
10.
go back to reference O’Sullivan GJ, Semba CP, Bittner CA et al (2000) Endovascular management of iliac vein compression syndrome. J Vasc Interv Radiol 11:823–836CrossRefPubMed O’Sullivan GJ, Semba CP, Bittner CA et al (2000) Endovascular management of iliac vein compression syndrome. J Vasc Interv Radiol 11:823–836CrossRefPubMed
11.
go back to reference Binkert CA et al (1998) Treatment of pelvic venous spur (May-Thurner syndrome) with self-expanding metallic endoprostheses. Cardiovasc Intervent Radiol 21:22–26CrossRefPubMed Binkert CA et al (1998) Treatment of pelvic venous spur (May-Thurner syndrome) with self-expanding metallic endoprostheses. Cardiovasc Intervent Radiol 21:22–26CrossRefPubMed
12.
go back to reference Dheer S, Joseph AE, Drooz A (2003) Retroperitoneal hematoma caused by a ruptured pelvic varix in a patient with iliac vein compression syndrome. JVIR 14:387–390PubMed Dheer S, Joseph AE, Drooz A (2003) Retroperitoneal hematoma caused by a ruptured pelvic varix in a patient with iliac vein compression syndrome. JVIR 14:387–390PubMed
13.
go back to reference 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
14.
go back to reference 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):291–2922CrossRefPubMed 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):291–2922CrossRefPubMed
Metadata
Title
Compression of the Inferior Vena Cava by the Right Iliac Artery: A Rare Variant of May–Thurner Syndrome
Authors
V. Fretz
C. A. Binkert
Publication date
01-10-2010
Publisher
Springer-Verlag
Published in
CardioVascular and Interventional Radiology / Issue 5/2010
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-009-9671-y

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