Huynh Nancy, Gates Lindsay, Scoutt Leslie, Sumpio Bauer, Sarac Timur, Ochoa Chaar Cassius Iyad
Yale School of Medicine, New Haven, Conn.
Department of Surgery, Section of Vascular Surgery, Yale School of Medicine, New Haven, Conn.
J Vasc Surg Cases Innov Tech. 2016 May 18;2(2):46-49. doi: 10.1016/j.jvsc.2016.02.001. eCollection 2016 Jun.
May-Thurner syndrome most commonly involves compression of the left common iliac vein by the right common iliac artery and can result in leg pain and swelling as well as potentially precipitate deep venous thrombosis. These symptoms can be exacerbated by additional vascular abnormalities. This is a case report of a 91-year-old woman with intractable massive left lower extremity edema that interfered with walking. She was diagnosed with concurrent May-Thurner syndrome and pelvic arteriovenous fistula. Treatment with embolization of the fistula and stenting of the left common iliac vein relieved her symptoms and allowed her to walk again.
梅-图二氏综合征最常见的情况是右髂总动脉压迫左髂总静脉，可导致腿痛、肿胀，并有可能引发深静脉血栓形成。这些症状会因其他血管异常而加重。本文报告一例91岁女性患者，患有顽固性左下肢重度水肿，影响行走。她被诊断同时患有梅-图二氏综合征和盆腔动静脉瘘。通过瘘管栓塞和左髂总静脉支架置入治疗缓解了她的症状，使其能够再次行走。
