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(Chest. 2006;129:1382-1386.)
© 2006 American College of Chest Physicians

Postthrombotic Syndrome Complicating a Case of May-Thurner Syndrome Despite Endovascular Therapy*

Case Report and Review

Bruce Ludwig, MD; Tony Han, MD and Dennis Amundson, DO, FCCP

* From the Department of Pulmonary Medicine (Dr. Ludwig), National Naval Medical Center, Bethesda, MD; and the Department of Internal Medicine (Drs. Han and Amundson), Division of Pulmonary Medicine, Naval Medical Center San Diego, San Diego, CA.

Correspondence to: Bruce B. Ludwig, MD, Department of Pulmonary Medicine, National Naval Medical Center, 8901 Wisconsin Ave, Bethesda, MD 20889; e-mail: BBLudwig{at}Bethesda.med.navy.mil

External compression of the left iliac vein is a common finding in the general population. It may predispose patients to the development of deep vein thrombosis (DVT) of the left leg and may also lead to a more complicated course than in other types of DVT. This entity has been well-described by other authors. External compression of the left iliac vein should be suspected in cases of complicated DVT or in cases of DVT with no predisposing factors. We describe a case of May-Thurner syndrome that involved a complicated treatment course, and a review of current options for diagnosis and therapy.

Key Words: Cockett syndrome • iliac compression syndrome • May-Thurner syndrome • venous thrombosis






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