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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">May-Thurner syndrome: a not so uncommon cause of a common condition</title>
<author><name sortKey="Peters, Matthew" sort="Peters, Matthew" uniqKey="Peters M" first="Matthew" last="Peters">Matthew Peters</name>
</author>
<author><name sortKey="Syed, Rashad Khazi" sort="Syed, Rashad Khazi" uniqKey="Syed R" first="Rashad Khazi" last="Syed">Rashad Khazi Syed</name>
</author>
<author><name sortKey="Katz, Morgan" sort="Katz, Morgan" uniqKey="Katz M" first="Morgan" last="Katz">Morgan Katz</name>
</author>
<author><name sortKey="Moscona, John" sort="Moscona, John" uniqKey="Moscona J" first="John" last="Moscona">John Moscona</name>
</author>
<author><name sortKey="Press, Christopher" sort="Press, Christopher" uniqKey="Press C" first="Christopher" last="Press">Christopher Press</name>
</author>
<author><name sortKey="Nijjar, Vikram" sort="Nijjar, Vikram" uniqKey="Nijjar V" first="Vikram" last="Nijjar">Vikram Nijjar</name>
</author>
<author><name sortKey="Bisharat, Mohannad" sort="Bisharat, Mohannad" uniqKey="Bisharat M" first="Mohannad" last="Bisharat">Mohannad Bisharat</name>
</author>
<author><name sortKey="Baldwin, Drew" sort="Baldwin, Drew" uniqKey="Baldwin D" first="Drew" last="Baldwin">Drew Baldwin</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">22754121</idno>
<idno type="pmc">3377287</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3377287</idno>
<idno type="RBID">PMC:3377287</idno>
<date when="2012">2012</date>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">May-Thurner syndrome: a not so uncommon cause of a common condition</title>
<author><name sortKey="Peters, Matthew" sort="Peters, Matthew" uniqKey="Peters M" first="Matthew" last="Peters">Matthew Peters</name>
</author>
<author><name sortKey="Syed, Rashad Khazi" sort="Syed, Rashad Khazi" uniqKey="Syed R" first="Rashad Khazi" last="Syed">Rashad Khazi Syed</name>
</author>
<author><name sortKey="Katz, Morgan" sort="Katz, Morgan" uniqKey="Katz M" first="Morgan" last="Katz">Morgan Katz</name>
</author>
<author><name sortKey="Moscona, John" sort="Moscona, John" uniqKey="Moscona J" first="John" last="Moscona">John Moscona</name>
</author>
<author><name sortKey="Press, Christopher" sort="Press, Christopher" uniqKey="Press C" first="Christopher" last="Press">Christopher Press</name>
</author>
<author><name sortKey="Nijjar, Vikram" sort="Nijjar, Vikram" uniqKey="Nijjar V" first="Vikram" last="Nijjar">Vikram Nijjar</name>
</author>
<author><name sortKey="Bisharat, Mohannad" sort="Bisharat, Mohannad" uniqKey="Bisharat M" first="Mohannad" last="Bisharat">Mohannad Bisharat</name>
</author>
<author><name sortKey="Baldwin, Drew" sort="Baldwin, Drew" uniqKey="Baldwin D" first="Drew" last="Baldwin">Drew Baldwin</name>
</author>
</analytic>
<series><title level="j">Proceedings (Baylor University. Medical Center)</title>
<idno type="ISSN">0899-8280</idno>
<imprint><date when="2012">2012</date>
</imprint>
</series>
</biblStruct>
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<front><div type="abstract" xml:lang="en"><p>May-Thurner syndrome is a rarely diagnosed condition in which patients develop iliofemoral deep venous thrombosis (DVT) due to an anatomical variant in which the right common iliac artery overlies and compresses the left common iliac vein against the lumbar spine. This variant has been shown to be present in over 20% of the population; however, it is rarely considered in the differential diagnosis of DVT, particularly in patients with other risk factors. Systemic anticoagulation alone is insufficient treatment, and a more aggressive approach is necessary to prevent recurrent DVT. Herein, we present a patient with multiple risk factors for DVT. With a comprehensive diagnostic approach, she was found to have May-Thurner syndrome. Local infusion of thrombolytics as well as mechanical thrombectomy failed to resolve the thrombus. Subsequently the patient underwent successful stent placement in the area that was compressed followed by 6 months of chronic anticoagulation with warfarin. There has been no recurrence of DVT in the ensuing 18 months.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Proc (Bayl Univ Med Cent)</journal-id>
<journal-id journal-id-type="iso-abbrev">Proc (Bayl Univ Med Cent)</journal-id>
<journal-id journal-id-type="publisher-id">bumc</journal-id>
<journal-title-group><journal-title>Proceedings (Baylor University. Medical Center)</journal-title>
</journal-title-group>
<issn pub-type="ppub">0899-8280</issn>
<publisher><publisher-name>Baylor Health Care System</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">22754121</article-id>
<article-id pub-id-type="pmc">3377287</article-id>
<article-id pub-id-type="publisher-id">bumc0025-0231</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Articles</subject>
</subj-group>
</article-categories>
<title-group><article-title>May-Thurner syndrome: a not so uncommon cause of a common condition</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Peters</surname>
<given-names>Matthew</given-names>
</name>
<degrees>MD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Syed</surname>
<given-names>Rashad Khazi</given-names>
</name>
<degrees>MD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Katz</surname>
<given-names>Morgan</given-names>
</name>
<degrees>MD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Moscona</surname>
<given-names>John</given-names>
</name>
<degrees>MD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Press</surname>
<given-names>Christopher</given-names>
</name>
<degrees>MD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Nijjar</surname>
<given-names>Vikram</given-names>
</name>
<degrees>MD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Bisharat</surname>
<given-names>Mohannad</given-names>
</name>
<degrees>MD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Baldwin</surname>
<given-names>Drew</given-names>
</name>
<degrees>MD</degrees>
</contrib>
</contrib-group>
<aff>From the Department of Internal Medicine, Tulane University Health Sciences Center, New Orleans, Louisiana.</aff>
<author-notes><corresp><bold>Corresponding author:</bold>
Matthew Peters, MD, 3700 Orleans Avenue, Apt. 3201, New Orleans, Louisiana 70119 (e-mail: <email>mattpeters25@gmail.com</email>
).</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>7</month>
<year>2012</year>
</pub-date>
<volume>25</volume>
<issue>3</issue>
<fpage>231</fpage>
<lpage>233</lpage>
<permissions><copyright-statement>Copyright © 2012, Baylor University Medical Center</copyright-statement>
<copyright-year>2012</copyright-year>
</permissions>
<abstract><p>May-Thurner syndrome is a rarely diagnosed condition in which patients develop iliofemoral deep venous thrombosis (DVT) due to an anatomical variant in which the right common iliac artery overlies and compresses the left common iliac vein against the lumbar spine. This variant has been shown to be present in over 20% of the population; however, it is rarely considered in the differential diagnosis of DVT, particularly in patients with other risk factors. Systemic anticoagulation alone is insufficient treatment, and a more aggressive approach is necessary to prevent recurrent DVT. Herein, we present a patient with multiple risk factors for DVT. With a comprehensive diagnostic approach, she was found to have May-Thurner syndrome. Local infusion of thrombolytics as well as mechanical thrombectomy failed to resolve the thrombus. Subsequently the patient underwent successful stent placement in the area that was compressed followed by 6 months of chronic anticoagulation with warfarin. There has been no recurrence of DVT in the ensuing 18 months.</p>
</abstract>
</article-meta>
</front>
</pmc>
</record>
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