Baburao Archana, Singh Amandeep, Babu Ajay, Pandey Ankit
Department of Pulmonary Medicine, Kempegowda Institute of Medical Sciences, Bengaluru, Karnataka, India.
Indian J Crit Care Med. 2020 Jan;24(1):66-68. doi: 10.5005/jp-journals-10071-23331.
The annual incidence rates of venous thromboembolism are approximately 1 per 1,000 persons per year in adult population. Deep vein thrombosis (DVT) most frequently occurs in the setting of underlying illness, and anatomical abnormalities are rarely considered as an etiology for it. A well-described anatomical cause for DVT is "May-Thurner syndrome" (MTS), which occurs as a result of compression of the left common iliac vein by the overlying right common iliac artery. This syndrome most often affects young to middle-aged women. Pulmonary embolism (PE) occurs very rarely in these patients. Anticoagulation therapy alone is not enough in these patients. We report a case of 27-year-old male who had both left DVT and PE caused by MTS and was treated with endovascular management along with long-term anticoagulation.
Baburao A, Singh A, Babu A, Pandey A. May-Thurner Syndrome: A Forgotten Cause of Venous Thromboembolism. Indian J Crit Care Med 2020;24(1):66-68.
在成年人群中，静脉血栓栓塞症的年发病率约为每1000人每年1例。深静脉血栓形成（DVT）最常发生在存在基础疾病的情况下，解剖学异常很少被认为是其病因。一种已被充分描述的DVT解剖学病因是“May-Thurner综合征”（MTS），它是由于右侧髂总动脉压迫左侧髂总静脉所致。该综合征最常影响年轻至中年女性。这些患者很少发生肺栓塞（PE）。仅抗凝治疗对这些患者是不够的。我们报告一例27岁男性患者，其因MTS导致左下肢DVT和PE，并接受了血管内治疗及长期抗凝治疗。
Baburao A, Singh A, Babu A, Pandey A. May-Thurner综合征：静脉血栓栓塞症被遗忘的病因。《印度重症监护医学杂志》2020年；24(1):66 - 68。
