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Korean J Crit Care Med > Volume 23(2); 2008 > Article
Korean Journal of Critical Care Medicine 2008;23(2): 115-119. doi: https://doi.org/10.4266/kjccm.2008.23.2.115
May-Thurner 증후군 환자의 주술기 관리 -증례 보고-
이수경ㆍ최은주ㆍ김건일*ㆍ김영미ㆍ최현ㆍ문현수
한림대학교 의과대학 마취통증의학교실, *흉부외과학교실
Perioperative Management for the Patient with May-Thurner Syndrome: A Case Report
Soo Kyung Lee, Eun Joo Choi, Kun Il Kim, Young Mi Kim, Hyun Choi, Hyun Soo Moon
1Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Anyang, Korea. agnetask@yahoo.co.kr
2Department of Cardiovascular and Thoracic Surgery, College of Medicine, Hallym University, Anyang, Korea.
ABSTRACT
May-Thurner syndrome is an anatomic variant in which the left common iliac vein is compressed by the right common iliac artery. The most frequent clinical presentation is deep vein thrombosis of the left lower extremity. We report the perioperative management in a patient with May-Thurner syndrome undergoing an open reduction of a tibia fracture. The patient developed deep vein thrombosis of the left lower extremity and had an endovascular stent placed approximately 1 year earlier. An important aspect of the perioperative management in a patient with May-Thurner syndrome is to prevent deep vein thrombosis. We monitored the activated clotting time during the intraoperative period.
Key Words: activated clotting time; deep vein thrombosis; May-Thurner syndrome
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