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以急性不明原因深静脉血栓形成表现的梅-图二氏综合征

May-Thurner Syndrome Presenting as Acute Unexplained Deep Venous Thrombosis.

作者信息

Baloch Zulfiqar Qutrio, Hussain Muhammad, Ayyaz Muhammad, Dagli Nishant, Abbas Shabber Agha

机构信息

Department of Internal Medicine, Brandon Regional Hospital, Brandon, FL.

R-Endocrinology, Hamilton, NJ.

出版信息

Ann Vasc Surg. 2018 Nov;53:266.e1-266.e3. doi: 10.1016/j.avsg.2018.03.031. Epub 2018 May 21.

DOI:10.1016/j.avsg.2018.03.031
PMID:29793013
Abstract

May-Thurner syndrome (MTS) is a rare cause of deep venous thrombosis and occurs due to an anatomic anomaly which produces chronic compression of the left common iliac vein by the overlying right common iliac artery when it passes between the right common iliac artery and the spine. Prolonged compression on the vein potentiates thrombus formation by impairing the intima and by leading to the development of membranes within the lumen that may decrease and/or block venous flow. In this case presentation, we elaborate on a case of a 43-year-old woman who presented with worsening left leg swelling and pain. The patient was diagnosed with MTS and underwent successful stent placement to relieve the compressed vein.

摘要

梅-图二氏综合征(May-Thurner syndrome,MTS)是导致深静脉血栓形成的罕见病因,其发生是由于一种解剖学异常,即右侧髂总动脉在跨越左侧髂总动脉和脊柱之间时,对左侧髂总静脉产生慢性压迫。静脉的长期受压会损害内膜,并导致管腔内形成隔膜,进而减少和/或阻断静脉血流,从而促进血栓形成。在本病例报告中,我们详细阐述了一名43岁女性患者,她因左腿肿胀和疼痛加剧前来就诊。该患者被诊断为梅-图二氏综合征,并成功接受了支架置入术以缓解受压静脉。

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引用本文的文献

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