Deep Vein Thrombosis of the Left Leg: A Case of May-Thurner Syndrome

Authors

• Jiten Desai Nassau University Medical Center, East Meadow, NY, USA
• Zalak Desai Nassau University Medical Center, East Meadow, NY, USA
• Jay Shah Saint Vincent Mercy Medical Center, Toledo, OH, USA
• Ofek Hai Nassau University Medical Center, East Meadow, NY, USA
• Andrea Mignatti Nassau University Medical Center, East Meadow, NY, USA
• Roman Zeltser Nassau University Medical Center, East Meadow, NY, USA
• Amgad Makaryus Nassau University Medical Center, East Meadow, NY, USA

jdesai1@numc.edu

Keywords

Abstract

A 56-year-old woman presented with gradually worsening shortness of breath associated with dull left leg pain over 5 days. She denied any recent travel, recent surgeries or immobilization.
CT pulmonary angiography and CT venography revealed multiple bilateral pulmonary emboli and extensive left pelvic and left lower extremity deep vein thromboses. Contrast-enhanced CT showed that the right common iliac artery crossed the left common iliac vein and compressed it externally, indicative of May–Thurner syndrome. Catheter-directed thrombolysis of the left lower extremity was performed and heparin infusion was started. The patient also underwent left iliac vein balloon angioplasty with stenting and infra-renal inferior vena cava filter placement via the jugular approach to prevent further embolization.