Jornal Vascular Brasileiro
https://jvascbras.org/journal/jvb/article/doi/10.1590/S1677-54492011000100014
Jornal Vascular Brasileiro
Case Report

Tratamento endovascular da síndrome de compressão da veia ilíaca (May-Thurner): relato de caso

Endovascular treatment of iliac vein compression syndrome (May-Thurner): a case report

Jorge Ribeiro da Cunha Júnior; Daniel Queiroz Neves; Fernando Azambuja Fontes; Gustavo Petorossi Solano; Marcio Cerbazzi Tavares Cardoso; Mauro Henrique de Lima; Irlandia Figueira Ocke Reis; Paulo Eduardo Ocke Reis

http://dx.doi.org/10.1590/S1677-54492011000100014 J Vasc Bras, vol.10, n1, p.72-76, 2011
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Resumo

A Síndrome de May-Thurner é uma causa pouco comum de sinais e sintomas venosos relacionados ao membro inferior esquerdo. Esta síndrome é caracterizada pela compressão da veia ilíaca comum esquerda pela artéria ilíaca comum direita e, quando tal alteração anatômica causa sintomas que venham a prejudicar a qualidade de vida do paciente, existe a indicação de tratamento cirúrgico ou endovascular para correção desta alteração anatômica. Este artigo é o relato de um caso, no qual optou-se pelo tratamento endovascular com resultado satisfatório e as indicações, as nuances e os resultados esperados para esta técnica no tratamento da Síndrome de May-Thurner são discutidos. Foi concluído que, nesta síndrome, há eficácia do tratamento endovascular com melhora dos sintomas pela recanalização do sistema venoso, sem grandes riscos inerentes ao procedimento e com curto período de internação hospitalar.

Palavras-chave

veia ilíaca, artéria ilíaca, varizes, edema, flebografia

Abstract

May-Thurner Syndrome is an uncommon cause of venous symptoms and signs related to the left lower limb. It is characterized by compression of the left common iliac vein by the right common iliac artery and, when such anatomical change causes symptoms that may impair the patients' quality of life, surgical treatment is indicated. This article addresses a case of May-Thurner syndrome in which we opted for endovascular treatment with satisfactory outcome, as well as a discussion about indications, nuances, and expected results. We concluded that endovascular treatment is effective in treating this syndrome, for it resolves the symptoms by recanalization of the venous system with little risks during the procedure and with short hospital stay.

Keywords

iliac vein, iliac artery, varicose veins, edema, phlebography

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