The patient was suffering from recurrent swelling, pain and ulcer wounds on her left leg for many years
A 43-year-old teacher was successfully treated for a rarely detected vascular disorder called May Thurner’s Syndrome (MTS) at BGS Gleneagles Global Hospital. She was battling the disease for the past 10 years. The patient suffered from recurrent swelling, pain and ulcer wounds on her left leg for many years, despite undergoing medical intervention for varicose veins in other hospitals.
After the initial evaluation and examination at the Dept. of Vascular & endovascular surgery of BGS Gleneagles Global Hospital, the patient was advised MR venography, which revealed that she was suffering from May-Thurner’s syndrome. Dr Rahul NS, Vascular & Endovascular Surgeon, advised the patient to undergo Venoplasty stenting of the left iliac vein, which helped her recover from recurrent ulcer and get back to her normal life.
Dr Kiran Kumar, HOD Medical Services, BGS Gleneagles Global Hospital says, “MTS is found three times more common in women than men. In most cases, this syndrome occurs due to 5-7 per cent of the venous outflow problems in the left leg. MTS cannot be prevented as it is an anatomical abnormality. However, the severe complications of the syndrome can be prevented by early clinical evaluation and management.”
Post learning her condition the doctor and the team decided to treat her by removing the block in her deep veins. The patient underwent Venoplasty stenting of the left iliac vein, in which a balloon angioplasty procedure was done to restore the proper blood flow. This procedure is done under local anaesthesia. It was a minimally invasive procedure that lasted only for one hour.
Dr Rahul NS, Vascular and Endovascular Surgeon says, “Vein stenting requires a proper understanding of the venous anatomy and clinical acumen. Right knowledge of the size of the veins and anatomical variants is important to prevent rupture, which is uncommon but life-threatening. It is important for the patients to be aware that varicose veins is just a part of a broader pathology called ‘Chronic venous insufficiency’ and not just cosmetic management of the prominent veins. Management of varicose veins requires thorough knowledge of the deep vein systems too. “Vascular & Endovascular surgeons” are the only specialists who have expertise in the clinical evaluation as well as training in both minimally invasive and open surgical procedures.
“Treat the patient, not the reports” holds perfectly good for such patients.
Dr Rahul NS, Vascular & Endovascular surgeon who spearheaded the surgery with the support from Cath lab and the nursing staff made the minimally invasive surgery possible.
The patient was discharged the next day after the procedure and with adequate medications. The wound healed in two weeks and the patient was able to get back to her routine life confidently.
