Management of May Thurner Syndrome in Pregnant Patients

May Thurner Syndrome contributes to thromboembolic disease and can cause significant morbidity in pregnant patients secondary to exaggerated anatomic relationships and physiologic changes in the hematologic system favoring thrombogenesis. Because this condition is both underrecognized and underrepor...

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Main Authors: Tabitha L. Schrufer-Poland, Karen Florio, Anna Grodzinsky, John J. Borsa, Laura Schmidt
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Journal of Cardiovascular Development and Disease
Subjects:
Online Access:https://www.mdpi.com/2308-3425/9/12/410
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author Tabitha L. Schrufer-Poland
Karen Florio
Anna Grodzinsky
John J. Borsa
Laura Schmidt
author_facet Tabitha L. Schrufer-Poland
Karen Florio
Anna Grodzinsky
John J. Borsa
Laura Schmidt
author_sort Tabitha L. Schrufer-Poland
collection DOAJ
description May Thurner Syndrome contributes to thromboembolic disease and can cause significant morbidity in pregnant patients secondary to exaggerated anatomic relationships and physiologic changes in the hematologic system favoring thrombogenesis. Because this condition is both underrecognized and underreported, management in pregnant and postpartum patients is based on expert opinion without any formal evidence-based guidance. Herein, we review five pregnancies in four patients with May Thurner Syndrome and general management strategies. Through collaborative and multidisciplinary care, patients with May Thurner Syndrome can be safely and successfully managed during pregnancy and the postpartum period with appropriate anticoagulation.
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spelling doaj.art-389a4504cb1348009429843fa49020092023-11-24T15:41:19ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252022-11-0191241010.3390/jcdd9120410Management of May Thurner Syndrome in Pregnant PatientsTabitha L. Schrufer-Poland0Karen Florio1Anna Grodzinsky2John J. Borsa3Laura Schmidt4Maternal and Fetal Medicine, Saint Luke’s Health System, Kansas City, MO 64111, USAMaternal and Fetal Medicine, Saint Luke’s Health System, Kansas City, MO 64111, USACardiovascular Outcomes Research Department, Saint Luke’s Health System, Kansas City, MO 64111, USADepartment of Radiology, Saint Luke’s Health System, Kansas City, MO 64111, USACardiovascular Outcomes Research Department, Saint Luke’s Health System, Kansas City, MO 64111, USAMay Thurner Syndrome contributes to thromboembolic disease and can cause significant morbidity in pregnant patients secondary to exaggerated anatomic relationships and physiologic changes in the hematologic system favoring thrombogenesis. Because this condition is both underrecognized and underreported, management in pregnant and postpartum patients is based on expert opinion without any formal evidence-based guidance. Herein, we review five pregnancies in four patients with May Thurner Syndrome and general management strategies. Through collaborative and multidisciplinary care, patients with May Thurner Syndrome can be safely and successfully managed during pregnancy and the postpartum period with appropriate anticoagulation.https://www.mdpi.com/2308-3425/9/12/410May-ThurnerMay ThurnerpregnancyCockett Syndromeiliac compressionvenous thromboembolism
spellingShingle Tabitha L. Schrufer-Poland
Karen Florio
Anna Grodzinsky
John J. Borsa
Laura Schmidt
Management of May Thurner Syndrome in Pregnant Patients
Journal of Cardiovascular Development and Disease
May-Thurner
May Thurner
pregnancy
Cockett Syndrome
iliac compression
venous thromboembolism
title Management of May Thurner Syndrome in Pregnant Patients
title_full Management of May Thurner Syndrome in Pregnant Patients
title_fullStr Management of May Thurner Syndrome in Pregnant Patients
title_full_unstemmed Management of May Thurner Syndrome in Pregnant Patients
title_short Management of May Thurner Syndrome in Pregnant Patients
title_sort management of may thurner syndrome in pregnant patients
topic May-Thurner
May Thurner
pregnancy
Cockett Syndrome
iliac compression
venous thromboembolism
url https://www.mdpi.com/2308-3425/9/12/410
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AT johnjborsa managementofmaythurnersyndromeinpregnantpatients
AT lauraschmidt managementofmaythurnersyndromeinpregnantpatients