You may very well know May Thurner Syndrome by another name – It is often referred to as iliocaval compression syndrome, Iliac vein compression syndrome, or Cockett syndrome. This syndrome is an anatomical variant where the right iliac artery compresses the left iliac vein against the fifth lumbar vertebra. It causes left side vein compression by the right iliac artery which causes deep vein thrombosis in the left iliofemoral.

Symptoms of May Thurner Syndrome

Lower left leg edema and pain are the two most prominent symptoms.

This affliction is primarily present in younger women ages 20 to 40 following pregnancy or illness-induced immobilization. Because May Thurner Syndrome is chronic patients also often present with skin pigmentation changes, varicose veins, chronic leg pain, phlebitis, and skin ulcers.

There are 3 Stages to May Thurner Syndrome

STAGE 1

Asymptomatic iliac vein compression

STAGE 2

Development of a venous spur

STAGE 3

Development of the left iliac vein DVT

The Diagnosis

Diagnosis is not always straight forward. Radiological evidence of compression combined with symptoms presented is key. Doppler ultrasound can detect deep vein thrombosis in the iliac vessels. CT and magnetic imaging may also be used. Seeing a vein specialist is vital if you suspect you may have a vein issue including May Thurner Syndrome.

The Treatment

Treatment is focused on clearing out the thrombus to print post-thrombotic syndrome and to correct the initial compression of the left iliac vein. A variant of assorted surgical procedures may be used depending on the patient’s needs.

Left untreated, many patients will develop post-thrombotic syndrome which can be debilitating. Undergoing treatment is recommended.

Management of May-Thurner syndrome has evolved over the years. Endovascular therapy has become the primary treatment. With early recognition and aggressive treatment, May-Thurner syndrome is a manageable disease.

If you believe you may have May Thurner Syndrome or any other heart or vein related issue we would love to meet with you in our Tampa office. www.tampacardio.com 813-975-2800. Give us a call to schedule today!