Budnur Srinivas Chikkaswamy, Singh Bhupinder, Mahadevappa Nagesh Chamarajnagar, Reddy Babu, Nanjappa Manjunath C
Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, Karnataka, India.
Cardiovasc Interv Ther. 2013 Jan;28(1):101-5. doi: 10.1007/s12928-012-0122-3. Epub 2012 Jul 25.
May-Thurner syndrome is a rare condition that results from narrowing of the left common iliac vein (CIV) lumen due to pulsatile compression from the right common iliac artery (CIA) as it crosses anterior to it. We present a case of 24-years old female with left lower limb deep venous thrombosis (DVT). Duplex ultrasonography revealed extensive left-sided DVT. Magnetic resonance venogram suggested DVT with left CIV being compressed by right CIA. Pharmaco-mechanical catheter directed thrombolysis-thrombectomy followed by left iliac vein stent placement restored patency to the venous system, with resolution of symptoms.
梅-图二氏综合征是一种罕见病症，由右髂总动脉（CIA）在左髂总静脉（CIV）前方交叉时产生的搏动性压迫，导致左髂总静脉管腔狭窄所致。我们报告一例24岁女性左下肢深静脉血栓形成（DVT）的病例。双功超声检查显示左侧广泛DVT。磁共振静脉造影提示DVT伴左髂总静脉被右髂总动脉压迫。药物机械性导管定向溶栓取栓术，随后行左髂静脉支架置入术，恢复了静脉系统通畅，症状得以缓解。
