{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:09:52Z","timestamp":1740164992418,"version":"3.37.3"},"reference-count":27,"publisher":"Wiley","license":[{"start":{"date-parts":[[2019,4,30]],"date-time":"2019-04-30T00:00:00Z","timestamp":1556582400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Vascular Medicine"],"published-print":{"date-parts":[[2019,4,30]]},"abstract":"<jats:p>May-Thurner syndrome (MTS) is a venous outflow obstruction disorder characterized by compression of the left common iliac vein by an overriding right common iliac artery. MTS primarily affects young to middle-aged women, although many patients remain entirely asymptomatic. Anatomic variations of MTS, while uncommon, have been described. Treatment usually involves endovascular management, including thrombolysis and\/or thrombectomy with or without inferior vena cava filter placement, followed by angioplasty and stenting of the left common iliac vein. We report a unique case of a 31-year-old woman who presented with MTS-related deep vein thrombosis accompanied by symptomatic abdominal and pelvic varicosities. The varicosities were treated successfully using multiple procedures, resulting in complete resolution of all symptoms. Our case discusses a treatment approach for an unusual presentation of MTS-related postthrombotic syndrome, and provides a brief literature review of MTS complications and management.<\/jats:p>","DOI":"10.1155\/2019\/7079307","type":"journal-article","created":{"date-parts":[[2019,4,30]],"date-time":"2019-04-30T19:40:31Z","timestamp":1556653231000},"page":"1-4","source":"Crossref","is-referenced-by-count":1,"title":["May-Thurner Syndrome with Large Abdominal Varicosity, Treated Successfully Using Multiple Approaches"],"prefix":"10.1155","volume":"2019","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7970-7081","authenticated-orcid":true,"given":"Lori","family":"Jia","sequence":"first","affiliation":[{"name":"Minneapolis Heart Institute, Minneapolis, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason","family":"Alexander","sequence":"additional","affiliation":[{"name":"Minneapolis Heart Institute, Minneapolis, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2284-1938","authenticated-orcid":true,"given":"Nedaa","family":"Skeik","sequence":"additional","affiliation":[{"name":"Minneapolis Heart Institute, Minneapolis, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1177\/000331975700800505"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2003.12.032"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2013.05.001"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1024\/0301-1526\/a000252"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.2310\/6670.2009.00027"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1111\/imj.11_13461"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1538-7836.2010.03967.x"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.113.004739"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1259\/bjr\/69371933"},{"issue":"11","key":"10","first-page":"265","volume":"11","year":"2014","journal-title":"Vascular Disease Management"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-009-9654-z"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-009-9671-y"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.2396"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2001.114213"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1016\/S1051-0443(07)61304-9"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1016\/S0009-9260(67)80049-7"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1177\/2050313X17724712"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2004.11.002"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1177\/153857440203600109"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1016\/S1051-0443(07)61796-5"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2007.10.007"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1016\/S0890-5096(06)61435-0"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1007\/s10016-001-0143-3"},{"key":"24","first-page":"60","volume":"34","year":"2007","journal-title":"Texas Heart Institute Journal"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-004-0165-7"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-009-9662-z"},{"key":"27","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.01.071"}],"container-title":["Case Reports in Vascular Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/crivam\/2019\/7079307.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crivam\/2019\/7079307.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crivam\/2019\/7079307.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,30]],"date-time":"2019-04-30T19:40:33Z","timestamp":1556653233000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/crivam\/2019\/7079307\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,30]]},"references-count":27,"alternative-id":["7079307","7079307"],"URL":"https:\/\/doi.org\/10.1155\/2019\/7079307","relation":{},"ISSN":["2090-6986","2090-6994"],"issn-type":[{"type":"print","value":"2090-6986"},{"type":"electronic","value":"2090-6994"}],"subject":[],"published":{"date-parts":[[2019,4,30]]}}}