Work

Successful Treatment of an Extensive Deep Vein Thrombosis in the Lower Left Extremity Through Thrombectomy and Endovascular Stenting: Role of May-Thurner Syndrome in Differential Diagnoses

Year: 2025

Type: article

Abstract: May-Thurner syndrome (MTS) is a vascular condition caused by extrinsic compression of the left common iliac vein by the right common iliac artery, predisposing patients to deep vein thrombosis (DVT). Though often asymptomatic, MTS can present with unilateral leg swelling and pain, particularly in young women without traditional risk factors. We present the case of a 45-year-old woman who developed acute left lower extremity DVT without prior medical history or provoking factors. Imaging confirmed extensive thrombosis and revealed complete iliac vein compression consistent with MTS. The patient underwent successful mechanical thrombectomy, stenting, and balloon angioplasty, followed by long-term anticoagulation. Two years post-intervention, she exhibited chronic venous changes but no recurrent DVT. This case highlights the importance of early diagnosis and endovascular management in symptomatic MTS to optimize outcomes and reduce long-term complications.

Source: Cureus

DOI: 10.7759/cureus.82468

Authors: Hong Thoai Nguyen, Chau Dang, Juveriya Yasmeen, Pham Thao Vy Le, Lac Han Nguyen

Institutions: Saint Joseph Hospital, San Joaquin General Hospital, The University of Texas at Tyler

Language: English

Topic: Vascular anomalies and interventions

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4409547509