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HOME > Acute Crit Care > Volume 23(2); 2008 > Article
Case Report Perioperative Management for the Patient with May-Thurner Syndrome: A Case Report
Soo Kyung Lee, Eun Joo Choi, Kun Il Kim, Young Mi Kim, Hyun Choi, Hyun Soo Moon

DOI: https://doi.org/10.4266/kjccm.2008.23.2.115
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1Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Anyang, Korea. agnetask@yahoo.co.kr
2Department of Cardiovascular and Thoracic Surgery, College of Medicine, Hallym University, Anyang, Korea.

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.


ACC : Acute and Critical Care