Key result
Therapeutic anticoagulation, mechanical disruption, angioplasty, and stent placement successfully treated an extensive deep venous thrombosis related to May-Thurner syndrome following ACL reconstruction.
Case Report (n=1)
This case highlights the importance of aggressive workup and multidisciplinary management, including mechanical disruption and stenting, for left-sided DVT associated with May-Thurner syndrome.
May prompt May-Thurner evaluation in post-ACL DVT; hypothesis-generating and leaves open need for prospective studies.
CASE: An extensive iliofemoral-popliteal deep venous thrombosis following arthroscopic anterior cruciate ligament reconstruction presented on the ninth postoperative day as the result of underlying May-Thurner syndrome. The patient was managed with therapeutic anticoagulation and mechanical disruption of the thrombus. The focal stenosis of the left common iliac vein was addressed with angioplasty and stent placement. Repeat venography demonstrated no residual stenosis of the vein. CONCLUSION: A multidisciplinary approach remains necessary for treating and reducing the risk of post-thrombotic syndrome. The present case further emphasizes the need for aggressive workup and response when a patient presents with left-sided deep venous thrombosis associated with underlying May-Thurner syndrome.
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Ackerman et al. (2015) conducted a case report in Extensive lower-extremity deep venous thrombosis related to May-Thurner syndrome (n=1). Therapeutic anticoagulation, mechanical disruption of thrombus, angioplasty, and stent placement was evaluated on Resolution of stenosis. Therapeutic anticoagulation, mechanical disruption, angioplasty, and stent placement successfully treated an extensive deep venous thrombosis related to May-Thurner syndrome following ACL reconstruction.
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