Korean J Crit Care Med.  2008 Dec;23(2):115-119. 10.4266/kjccm.2008.23.2.115.

Perioperative Management for the Patient with May-Thurner Syndrome: A Case Report

• Lee SK
• Choi EJ
• Kim KI
• Kim YM
• Choi H
• Moon HS

• KMID: 2228405
• DOI: http://doi.org/10.4266/kjccm.2008.23.2.115

Abstract

May-Thurner syndrome is an anatomic variant in which the left common iliac vein is compressed by the right common iliac artery. The most frequent clinical presentation is deep vein thrombosis of the left lower extremity. We report the perioperative management in a patient with May-Thurner syndrome undergoing an open reduction of a tibia fracture. The patient developed deep vein thrombosis of the left lower extremity and had an endovascular stent placed approximately 1 year earlier. An important aspect of the perioperative management in a patient with May-Thurner syndrome is to prevent deep vein thrombosis. We monitored the activated clotting time during the intraoperative period.

Keyword

activated clotting time; deep vein thrombosis; May-Thurner syndrome

MeSH Terms

Humans
Iliac Artery
Iliac Vein
Lower Extremity
May-Thurner Syndrome
Stents
Tibia
Venous Thrombosis