May-Thurner Syndrome as a Rare Cause of Paradoxical Embolism in a Patient with Patent Foramen Ovale
May-Thurner syndrome is an underrecognized anatomical variant that can lead to increased propensity for venous thrombosis in the lower extremities. We present a case of a 67-year-old female who presented with transient ischemic attack. Initial workup including CT scan of the head, MRI scan of the he...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2018/3625401 |
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| author | Dominika M. Zoltowska Guramrinder Thind Yashwant Agrawal Vishal Gupta Jagadeesh Kumar Kalavakunta |
| author_facet | Dominika M. Zoltowska Guramrinder Thind Yashwant Agrawal Vishal Gupta Jagadeesh Kumar Kalavakunta |
| author_sort | Dominika M. Zoltowska |
| collection | DOAJ |
| description | May-Thurner syndrome is an underrecognized anatomical variant that can lead to increased propensity for venous thrombosis in the lower extremities. We present a case of a 67-year-old female who presented with transient ischemic attack. Initial workup including CT scan of the head, MRI scan of the head, and magnetic resonance angiogram of the head and neck was unremarkable. A transthoracic echocardiogram with bubble study was also normal. Subsequently, a transesophageal echocardiogram was performed that revealed a patent foramen ovale with right-to-left shunt. Lower extremity duplex venous ultrasound showed no evidence of deep vein thrombosis. However, magnetic resonance venogram of the pelvis showed compression of the left common iliac vein just after its origin suggestive of May-Thurner syndrome. Hence, May-Thurner syndrome was recognized as the probable source of paradoxical embolism causing transient ischemic attack in this patient. |
| format | Article |
| id | doaj-art-9a41d0818a7d4a80ab95fcf2d3cfb202 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-9a41d0818a7d4a80ab95fcf2d3cfb2022025-02-03T01:12:55ZengWileyCase Reports in Cardiology2090-64042090-64122018-01-01201810.1155/2018/36254013625401May-Thurner Syndrome as a Rare Cause of Paradoxical Embolism in a Patient with Patent Foramen OvaleDominika M. Zoltowska0Guramrinder Thind1Yashwant Agrawal2Vishal Gupta3Jagadeesh Kumar Kalavakunta4Department of Internal Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, 300 Portage Street, Kalamazoo, MI 49007, USADepartment of Internal Medicine, Western Michigan University Homer Stryker M.D. School of Medicine, 300 Portage Street, Kalamazoo, MI 49007, USADepartment of Cardiology, St. Joseph Mercy Oakland Hospital, 44405 Woodward Ave, Pontiac, MI 48341, USADepartment of Cardiology, Michigan State University and Borgess Medical Center, 1521 Gull Rd, Kalamazoo, MI 49048, USADepartment of Cardiology, Michigan State University and Borgess Medical Center, 1521 Gull Rd, Kalamazoo, MI 49048, USAMay-Thurner syndrome is an underrecognized anatomical variant that can lead to increased propensity for venous thrombosis in the lower extremities. We present a case of a 67-year-old female who presented with transient ischemic attack. Initial workup including CT scan of the head, MRI scan of the head, and magnetic resonance angiogram of the head and neck was unremarkable. A transthoracic echocardiogram with bubble study was also normal. Subsequently, a transesophageal echocardiogram was performed that revealed a patent foramen ovale with right-to-left shunt. Lower extremity duplex venous ultrasound showed no evidence of deep vein thrombosis. However, magnetic resonance venogram of the pelvis showed compression of the left common iliac vein just after its origin suggestive of May-Thurner syndrome. Hence, May-Thurner syndrome was recognized as the probable source of paradoxical embolism causing transient ischemic attack in this patient.http://dx.doi.org/10.1155/2018/3625401 |
| spellingShingle | Dominika M. Zoltowska Guramrinder Thind Yashwant Agrawal Vishal Gupta Jagadeesh Kumar Kalavakunta May-Thurner Syndrome as a Rare Cause of Paradoxical Embolism in a Patient with Patent Foramen Ovale Case Reports in Cardiology |
| title | May-Thurner Syndrome as a Rare Cause of Paradoxical Embolism in a Patient with Patent Foramen Ovale |
| title_full | May-Thurner Syndrome as a Rare Cause of Paradoxical Embolism in a Patient with Patent Foramen Ovale |
| title_fullStr | May-Thurner Syndrome as a Rare Cause of Paradoxical Embolism in a Patient with Patent Foramen Ovale |
| title_full_unstemmed | May-Thurner Syndrome as a Rare Cause of Paradoxical Embolism in a Patient with Patent Foramen Ovale |
| title_short | May-Thurner Syndrome as a Rare Cause of Paradoxical Embolism in a Patient with Patent Foramen Ovale |
| title_sort | may thurner syndrome as a rare cause of paradoxical embolism in a patient with patent foramen ovale |
| url | http://dx.doi.org/10.1155/2018/3625401 |
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