Successful left gonadal vein to inferior vena cava bypass for symptomatic May-Thurner syndrome

Successful left gonadal vein to inferior vena cava bypass for symptomatic May-Thurner syndrome

We report the management of symptomatic May-Thurner syndrome refractory to endovascular techniques with left gonadal vein to inferior vena cava bypass. The patient's presentation was exceptional—a young individual with end-stage renal disease status post four failed kidney transplants, dwindlin...

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Main Authors: Martha M.O. McGilvray, MSt, MD, Joshua Balderman, MD, Senthil N. Jayarajan, MD, MS
Format: Article
Language:English
Published: Elsevier 2019-12-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428719301030
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spelling doaj-c450879aeba44236985cde5602610ed22020-11-25T01:10:08ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872019-12-0154549552Successful left gonadal vein to inferior vena cava bypass for symptomatic May-Thurner syndromeMartha M.O. McGilvray, MSt, MD0Joshua Balderman, MD1Senthil N. Jayarajan, MD, MS2Department of Surgery, Washington University School of Medicine in Saint Louis, Saint Louis, Mo; Correspondence: Martha M.O. McGilvray, MSt, MD, Department of Surgery, Washington University School of Medicine, 9901 Wohl Hospital, Campus Box 8109, 660 S Euclid Ave, St. Louis, MO 63110Division of Vascular Surgery, Pima Heart and Vascular, Tucson, ArizSection of Vascular Surgery, Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, MinnWe report the management of symptomatic May-Thurner syndrome refractory to endovascular techniques with left gonadal vein to inferior vena cava bypass. The patient's presentation was exceptional—a young individual with end-stage renal disease status post four failed kidney transplants, dwindling options for dialysis access, and an unusable left thigh arteriovenous graft owing to severe lower extremity edema secondary to common iliac vein compression. Postoperatively, swelling was markedly alleviated and the thigh graft was functional. Discussed are endovascular and venous bypass techniques for management of May-Thurner-associated lesions, as well as approaches to end-stage hemodialysis access salvage. Keywords: May-Thurner syndrome, Hemodialysis access salvage, Venous bypass, Iliac venous systemhttp://www.sciencedirect.com/science/article/pii/S2468428719301030
collection DOAJ
language English
format Article
sources DOAJ
author Martha M.O. McGilvray, MSt, MD
Joshua Balderman, MD
Senthil N. Jayarajan, MD, MS
spellingShingle Martha M.O. McGilvray, MSt, MD
Joshua Balderman, MD
Senthil N. Jayarajan, MD, MS
Successful left gonadal vein to inferior vena cava bypass for symptomatic May-Thurner syndrome
Journal of Vascular Surgery Cases and Innovative Techniques
author_facet Martha M.O. McGilvray, MSt, MD
Joshua Balderman, MD
Senthil N. Jayarajan, MD, MS
author_sort Martha M.O. McGilvray, MSt, MD
title Successful left gonadal vein to inferior vena cava bypass for symptomatic May-Thurner syndrome
title_short Successful left gonadal vein to inferior vena cava bypass for symptomatic May-Thurner syndrome
title_full Successful left gonadal vein to inferior vena cava bypass for symptomatic May-Thurner syndrome
title_fullStr Successful left gonadal vein to inferior vena cava bypass for symptomatic May-Thurner syndrome
title_full_unstemmed Successful left gonadal vein to inferior vena cava bypass for symptomatic May-Thurner syndrome
title_sort successful left gonadal vein to inferior vena cava bypass for symptomatic may-thurner syndrome
publisher Elsevier
series Journal of Vascular Surgery Cases and Innovative Techniques
issn 2468-4287
publishDate 2019-12-01
description We report the management of symptomatic May-Thurner syndrome refractory to endovascular techniques with left gonadal vein to inferior vena cava bypass. The patient's presentation was exceptional—a young individual with end-stage renal disease status post four failed kidney transplants, dwindling options for dialysis access, and an unusable left thigh arteriovenous graft owing to severe lower extremity edema secondary to common iliac vein compression. Postoperatively, swelling was markedly alleviated and the thigh graft was functional. Discussed are endovascular and venous bypass techniques for management of May-Thurner-associated lesions, as well as approaches to end-stage hemodialysis access salvage. Keywords: May-Thurner syndrome, Hemodialysis access salvage, Venous bypass, Iliac venous system
url http://www.sciencedirect.com/science/article/pii/S2468428719301030
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