Premium
May–Thurner syndrome (iliac vein compression) and thrombosis in adolescents
Author(s) -
Raffini Leslie,
Raybagkar Deepti,
Cahill Anne Marie,
Kaye Robin,
Blumenstein Marilyn,
Manno Catherine
Publication year - 2006
Publication title -
pediatric blood and cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.116
H-Index - 105
eISSN - 1545-5017
pISSN - 1545-5009
DOI - 10.1002/pbc.20728
Subject(s) - may–thurner syndrome , medicine , angioplasty , thrombosis , thrombolysis , surgery , vein , balloon , radiology , deep vein , cardiology , myocardial infarction
May–Thurner syndrome refers to anatomic compression of the left iliofemoral vein by the overriding right iliac artery. We report three adolescents who presented to our pediatric hospital with iliac vein thrombosis and were diagnosed with May–Thurner syndrome. Each received catheter‐directed thrombolysis followed by balloon angioplasty to restore flow. Two patients had endovascular stents placed. The procedures were well tolerated, without major complications. Additional thrombophilic risk factors were identified in each patient. Though uncommon, pediatric hematologists should consider May–Thurner syndrome in adolescents who present with a left lower extremity thrombosis. Aggressive therapy may be warranted due to the risk of post‐thrombotic syndrome. Pediatric Blood Cancer 2006;47:834–838. © 2005 Wiley‐Liss, Inc.