Abstract
Endovascular stent placement is an effective treatment for relieving chronic venous obstruction in patients with May-Thurner Syndrome (MTS) with or without the presence of thrombotic lesions. Stent migration is a rare but potentially life-threatening complication of endovascular stenting. Herein, we describe a case of stent migration from the left common iliac vein into the right heart, requiring open-heart surgery. We also completed a literature review of MTS patients with stent migration in hopes of raising awareness of this rare and life-threatening complication.
Highlights
May-Thurner Syndrome was first described in 1908 and was not completely understood until the mid-1900s [1, 2]
A chest x-ray was obtained and revealed the initial 14 x 60 mm Luminexx stent projecting over the right atrium (Figure 1(c)). She underwent openheart surgery for stent retrieval and had a postoperative course complicated by atrial fibrillation and recurrent left sided lower extremity deep vein thrombosis (DVT) managed with catheter directed thrombolysis
Our case describes a patient with May-Thurner Syndrome (MTS) that presented with an acute deep vein thrombosis that was treated with endovascular stenting and, following stent placement, experienced stent migration to the heart and subsequent open-heart surgery for stent retrieval
Summary
May-Thurner Syndrome was first described in 1908 and was not completely understood until the mid-1900s [1, 2]. While many patients with MTS present with left lower extremity deep vein thrombosis (DVT), symptoms can include swelling, pain, claudication, ulcerations, varicose veins, and pelvic congestion syndrome [6, 7]. Few cases of stent migration from iliac veins to the heart have been reported [9,10,11]. We present a case of stent migration to the heart following placement in the left iliac vein for treatment of May-Thurner syndrome
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
