Iliac Compression Syndrome
A 58-year-old man who had been experiencing swelling of the left lower extremity over a period of 3 months came to our hospital. Deep venous thrombosis of the left iliofemoral vein was confirmed by ultrasonographic examination. The patient was treated with a thrombectomy with a Fogarty catheter, and his symptoms improved temporarily, but recurrence of the left leg edema was noted 1 week later. Three-dimensional spiral CT of the aortoiliac vascular system revealed left iliac vein (IV; thick arrow) compression between the right iliac artery (IA; thin arrow) and lumber vertebrae. Iliac compression syndrome was determined to be the cause of iliofemoral vein thrombosis. Although this diagnosis is rare, these lesions may be confirmed more frequently by this improved imaging technology.
The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke’s Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.
Circulation encourages readers to submit cardiovascular images to Dr Hugh A. McAllister, Jr, St Luke’s Episcopal Hospital and Texas Heart Institute, 6720 Bertner Ave, MC1–267, Houston, TX 77030.
- Copyright © 1998 by American Heart Association