Jia Lori, Alexander Jason, Skeik Nedaa
Minneapolis Heart Institute, Minneapolis, MN, USA.
Case Rep Vasc Med. 2019 Apr 30;2019:7079307. doi: 10.1155/2019/7079307. eCollection 2019.
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. MTS primarily affects young to middle-aged women, although many patients remain entirely asymptomatic. Anatomic variations of MTS, while uncommon, have been described. Treatment usually involves endovascular management, including thrombolysis and/or thrombectomy with or without inferior vena cava filter placement, followed by angioplasty and stenting of the left common iliac vein. We report a unique case of a 31-year-old woman who presented with MTS-related deep vein thrombosis accompanied by symptomatic abdominal and pelvic varicosities. The varicosities were treated successfully using multiple procedures, resulting in complete resolution of all symptoms. Our case discusses a treatment approach for an unusual presentation of MTS-related postthrombotic syndrome, and provides a brief literature review of MTS complications and management.
梅-图二氏综合征（MTS）是一种静脉流出道梗阻性疾病，其特征为右侧髂总动脉横跨并压迫左侧髂总静脉。MTS主要影响年轻至中年女性，不过许多患者完全没有症状。MTS的解剖变异虽不常见，但已有相关描述。治疗通常包括血管内治疗，即溶栓和/或血栓切除术，可放置或不放置下腔静脉滤器，随后对左侧髂总静脉进行血管成形术和支架置入术。我们报告了一例独特病例，一名31岁女性患有与MTS相关的深静脉血栓形成，并伴有有症状的腹部和盆腔静脉曲张。通过多种手术成功治疗了静脉曲张，所有症状完全消失。我们的病例讨论了MTS相关血栓形成后综合征异常表现的治疗方法，并对MTS并发症及治疗进行了简要文献综述。
