Wax Joseph R, Pinette Michael G, Rausch Daniel, Cartin Angelina
J Reprod Med. 2014 May-Jun;59(5-6):333-6.
May-Thurner syndrome is a common anatomic variant associated with deep venous thrombosis. There are few reports describing implications for and management in pregnancy.
We performed a retrospective review and description of 4 women with May-Thurner syndrome receiving complete or consultative obstetrical care in our practice. Presentations included (1) previous stroke from presumed paradoxical embolus, (2) chronic lower extremity venous congestion treated prepregnancy with stenting, (3) prior iliac thrombosis treated with thrombolysis, anticoagulation, and stenting, and (4) active third trimester iliac thrombosis. The first 3 patients received prophylactic anticoagulation, while the fourth was fully anticoagulated.
May-Thurner is an underappreciated cause of deep venous thrombosis in reproductive-aged women. Awareness may lead to improved recognition, treatment, and fewer long-term sequelae.
梅-图二氏综合征是一种与深静脉血栓形成相关的常见解剖变异。关于其在妊娠中的影响及管理的报道较少。
我们对4例在我院接受全面或咨询性产科护理的梅-图二氏综合征女性患者进行了回顾性分析和描述。临床表现包括：（1）既往因疑似反常栓塞导致的中风；（2）孕前通过支架置入治疗的慢性下肢静脉充血；（3）既往通过溶栓、抗凝和支架置入治疗的髂静脉血栓形成；（4）孕晚期活动性髂静脉血栓形成。前3例患者接受了预防性抗凝治疗，第4例患者进行了充分抗凝治疗。
梅-图二氏综合征是育龄期女性深静脉血栓形成的一个未得到充分认识的原因。提高认识可能有助于改善识别、治疗并减少长期后遗症。
