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.
104 year old female with worsening left foot rest pain
Iliac vein compression may cause pelvic venous congestion.
65 year old cyclist with extensive superficial and deep venous incompetence and venous ulceration