36 year old female with a left lower extremity iliofemoral deep venous thrombosis (DVT) and pulmonary embolism (PE) 9 years prior. Increasing problems with left leg venous claudication with exercise. Symptoms limiting the patients ability to be active. MR venography showed occlusion of the left iliac venous system typical of May Thurner syndrome or iliac vein compression syndrome. Stenting and venoplasty was performed with complete resolution of symptoms.
Iliac vein compression may cause pelvic venous congestion.
46 year old male, type 1 diabetes, with ulcers on several toes. Patient had palpable pulses at the ankle.
Short distance claudication and rest pain secondary to thrombosed popliteal artery aneurysm treated endovasculary.