Pulmonary Emboli Caused by Iliac Compression Syndrome without Leg Symptoms

Kishi, Kazuma; Homma, Sakae; Kawabata, Masateru; Tsuboi, Eiyasu; Narui, Koji; Nakatani, Tatsuo; Nakata, Kohei

doi:10.1159/000063632

Cited by 6 publications

(4 citation statements)

References 12 publications

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“…Interestingly, only a few subsequent cases have been reported. 8,9 In this case a previously healthy long distance runner without apparent risk factors for thromboembolism presented with a pulmonary embolism diagnosed clinically, by D-dimer, and by helical CT study. Helical CT is becoming an important tool for the diagnosis of pulmonary embolism at the level of the segmental arteries.…”

Section: Discussionmentioning

confidence: 92%

Iliac Vein Compression and Pulmonary Embolism in a Long Distance Runner: Computed Tomography and Magnetic Resonance Imaging

Cauley

Wright

2005

Angiology

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Iliac vein compression is invoked as the explanation for deep venous thrombosis occurring more often in the left iliofemoral system than the right. The authors report a previously undescribed variant of iliac compression whereby a left iliac arterial aneurysm caused venous compression and resultant thrombosis. In this case the patient suffered a pulmonary embolism without symptoms of lower extremity venous thrombosis.

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Section: Discussionmentioning

confidence: 92%

Iliac Vein Compression and Pulmonary Embolism in a Long Distance Runner: Computed Tomography and Magnetic Resonance Imaging

Cauley

Wright

2005

Angiology

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“…TMS is a progressive disease with the risk of triggering severe long-term complications, being described in the literature: DVT/PE, ischemic cerebrovascular disease in the context of paradoxical embolism and post-thrombotic syndrome, for which its early diagnosis and treatment is imperative [ 2 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

May-Thurner syndrome with inferior mesenteric vein drainage and porta system - Case report

Avendaño

García

Carvajal

et al. 2021

Radiology Case Reports

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We present the case of a 12-year-old girl with a history of vascular anomalies in the lower pelvic limbs and back, who developed unilateral deep vein thrombosis of the left lower limb after her pubertal development, she was diagnosed with May-Thurner syndrome with an abnormal venous drainage of the pelvic structures through the superior hemorrhoidal veins to the inferior mesenteric vein towards the porta system, this being a chronic manifestation. This kind of behavior has not been documented in the reviewed medical literature. Secondarily, balloon angioplasty was performed without breaking the stenotic ring. As a second attempt, it was decided to place the venous stent, with satisfactory resolution of the symptoms. There are controversies about the indications for the use of anticoagulants and antiplatelet agents, or the indications to place a venous stent in children. We must consider an approach to for effective therapeutic treatment in these cases is to control bleeding, the main goal being trying to avoid ulcerations in the lower limb due to venous insufficiency with irreversible affectation of the valvular system.

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“…The risks of acute DVT are greater in patients with additional risk factors such as prolonged immobility, recent surgery, obesity and pregnancy (2). It is not uncommon for MayThurner syndrome to present as an acute PE without any history of lower extremity symptoms (44). Patients may alternatively present with chronic symptoms such as varicosities, hyperpigmentation, venous eczema or venous stasis ulcers (1,43).…”

Section: May-thurner Syndromementioning

confidence: 99%

Minimally invasive treatments for venous compression syndromes

Hulsberg

McLoney

Partovi

et al. 2016

Cardiovasc. Diagn. Ther.

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The management of venous compression syndromes has historically been reliant on surgical treatment when conservative measures fail. There are, however, several settings in which endovascular therapy can play a significant role as an adjunct or even a replacement to more invasive surgical methods.We explore the role of minimally invasive treatment options for three of the most well-studied venous compression syndromes. The clinical aspects and pathophysiology of Paget-Schroetter syndrome (PSS), nutcracker syndrome, and May-Thurner syndrome are discussed in detail, with particular emphasis on the role that interventionalists can play in minimally invasive treatment.

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Pulmonary Emboli Caused by Iliac Compression Syndrome without Leg Symptoms

Cited by 6 publications

References 12 publications

Iliac Vein Compression and Pulmonary Embolism in a Long Distance Runner: Computed Tomography and Magnetic Resonance Imaging

Iliac Vein Compression and Pulmonary Embolism in a Long Distance Runner: Computed Tomography and Magnetic Resonance Imaging

May-Thurner syndrome with inferior mesenteric vein drainage and porta system - Case report

Minimally invasive treatments for venous compression syndromes

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