title: Anticoagulant Therapy in a Pregnant Woman with May-Thurner Syndrome.
abstract: A 39-year-old woman with a 9-week abdominal pregnancy noted pain in her lower abdomen and left leg. Since successive thrombi were observed extending from the left common iliac vein to the popliteal vein along with a thrombus in the left pulmonary artery, we diagnosed her with pulmonary thromboembolism with deep venous thrombosis (DVT). May-Thurner syndrome may have contributed to DVT in the left leg when the left iliac vein was compressed by the right iliac artery. She underwent anticoagulant therapy with heparin, followed by the subcutaneous injection of heparin at home after discharge. We herein report the case of a pregnant woman with May-Thurner syndrome who safely gave birth.
authors.affiliation: Department of Cardiology, Fukuoka University School of Medicine, Japan.
authors.forename: Masaki
authors.initials: M
authors.lastname: Goto
authors.forename: Shin-Ichiro
authors.initials: S
authors.lastname: Miura
authors.forename: Tomohiko
authors.initials: T
authors.lastname: Yamamoto
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Fukuda
authors.forename: Takashi
authors.initials: T
authors.lastname: Kuwano
authors.forename: Ibuki
authors.initials: I
authors.lastname: Kimura
authors.forename: Ayako
authors.initials: A
authors.lastname: Sanui
authors.forename: Shingo
authors.initials: S
authors.lastname: Miyamoto
authors.forename: Keijiro
authors.initials: K
authors.lastname: Saku
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000008:administration & dosage*; D005260:Female; D006493:Heparin / Q000008:administration & dosage*; D006801:Humans; D007084:Iliac Vein / Q000000981:diagnostic imaging; D007866:Leg / Q000098:blood supply* / Q000000981:diagnostic imaging; D062108:May-Thurner Syndrome / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology; D010690:Phlebography; D011247:Pregnancy; D011248:Pregnancy Complications; D011655:Pulmonary Embolism / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D015912:Thrombolytic Therapy; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology
chemical_list: D000925:Anticoagulants; D006493:Heparin