title: May-Thurner syndrome in an adolescent: persistence despite operative management.
abstract: We describe a patient with May-Thurner syndrome who underwent operative transection and transposition of the right common iliac artery without direct venous repair, because preoperative and intraoperative intravascular ultrasound scans were negative for "spurs" in the left common iliac vein. When symptoms and signs persisted, a postoperative magnetic resonance venogram (MRV) showed severe stenosis in the left common iliac vein. Progressive, but incomplete, clinical improvement occurred with conservative management.
authors.affiliation: Division of Vascular Radiology, Miami Cardiac and Vascular Institute, FL, USA.
authors.forename: C
authors.initials: C
authors.lastname: Simon
authors.forename: J
authors.initials: J
authors.lastname: Alvarez
authors.forename: G J
authors.initials: GJ
authors.lastname: Becker
authors.forename: B T
authors.initials: BT
authors.lastname: Katzen
authors.forename: J F
authors.initials: JF
authors.lastname: Benenati
authors.forename: G
authors.initials: G
authors.lastname: Zemel
mesh_terms: D000293:Adolescent; D000925:Anticoagulants / Q000627:therapeutic use; D001458:Bandages; D003251:Constriction, Pathologic / Q000473:pathology; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D007084:Iliac Vein / Q000473:pathology*; D016491:Peripheral Vascular Diseases / Q000175:diagnosis / Q000601:surgery* / Q000628:therapy; D013577:Syndrome; D017211:Treatment Failure; D014859:Warfarin / Q000627:therapeutic use
chemical_list: D000925:Anticoagulants; D014859:Warfarin