May-Thurner syndrome: Wikis

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May-Thurner syndrome
Classification and external resources
Iliac veins
ICD-10	I 80.2
DiseasesDB	33411

May-Thurner syndrome in medicine is the name given to the situation in which deep vein thrombosis (DVT) of the iliofemoral vein is caused by compression of the left common iliac vein by the overlying right common iliac artery.^[1]^[2]

Mechanism

In contrast to the right common iliac vein, which ascends almost vertically to the ass, the left common iliac vein takes a more transverse course. Along this course, it underlies the right common iliac artery, which may compress it against the lumbar spine. This compression causes stasis of the blood, and according to Virchow's triad this precipitates DVT

References

^ May R, Thurner J (1957). "The cause of the predominantly sinistral occurrence of thrombosis of the pelvic veins". Angiology 8 (5): 419–27. doi:10.1177/000331975700800505. PMID 13478912.
^ Fazel R, Froehlich JB, Williams DM, Saint S, Nallamothu BK (2007). "Clinical problem-solving. A sinister development--a 35-year-old woman presented to the emergency department with a 2-day history of progressive swelling and pain in her left leg, without antecedent trauma". N. Engl. J. Med. 357 (1): 53–9. doi:10.1056/NEJMcps061337. PMID 17611208.

External links

synd/3472 at Who Named It?

The angiologist - Vascular medicine and angiology related topics for experts and laypersons.

Cardiovascular disease: vascular disease · Circulatory system pathology (I70-I99, 440-456)

Arteries, arterioles
and capillaries

Inflammation

Arteritis (Aortitis) · Buerger's disease

Arterial occlusive disease/
peripheral vascular disease

Aneurysm/dissection/
pseudoaneurysm

torso: Aortic aneurysm (Thoracic aortic aneurysm, Abdominal aortic aneurysm) · Aortic dissection · Coronary artery aneurysm

head/neck: Cerebral aneurysm · Intracranial berry aneurysm · Carotid artery dissection · Vertebral artery dissection · Familial aortic dissection

Vascular malformation

Arteriovenous fistula · Telangiectasia (Hereditary hemorrhagic telangiectasia)

Vascular nevus

Spider angioma · Halo nevus · Cherry hemangioma

Veins

Inflammation	Phlebitis

Venous thrombosis/ Thrombophlebitis	primarily lower limb (Deep vein thrombosis) abdomen (May-Thurner syndrome, Portal vein thrombosis, Budd-Chiari syndrome, Renal vein thrombosis) upper limb/torso (Paget-Schroetter disease, Mondor's disease) head (Cerebral venous sinus thrombosis) Post-thrombotic syndrome

Varicose veins	Varicocele · Gastric varices · Portacaval anastomosis (Hemorrhoid, Esophageal varices, Caput medusae)

Other	Superior vena cava syndrome · Inferior vena cava syndrome · Venous ulcer · Chronic venous insufficiency · Chronic cerebrospinal venous insufficiency

Arteries or veins

Vasculitis · Thrombosis · Embolism (Pulmonary embolism, Cholesterol embolism, Paradoxical embolism) · Angiopathy (Macroangiopathy, Microangiopathy)

Blood pressure

Hypertension	Hypertensive heart disease · Hypertensive nephropathy · Essential hypertension · Secondary hypertension (Renovascular hypertension) · Pulmonary hypertension · Malignant hypertension · Benign hypertension · Systolic hypertension · White coat hypertension

Hypotension	Orthostatic hypotension

vascular navs: anat/physio/dev, noncongen/systemic vasculitis/congen/neoplasia, symptoms+signs/eponymous, proc

Endovascular management of May Thurner syndrome.http://www.kem.edu/dept/radiology/inter_29.htm

Categories: Disease stubs


•	Endovascular treatment in the form of venous thrombolysis was planned for the acute deep venous thrombosis to decrease the thrombus load and avoid future post phlebitis syndrome..
&bull	This confirmed the diagnosis of May Thurner Syndrome.
&bull	Although anticoagulation (heparin followed by oral anticoagulation) is currently considered the standard of care for the prevention of PE and recurrent DVT, this form of therapy does not protect the patient from the manifestations of the postthrombotic syndrome, which can appear months to years after the acute episode of DVT.

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