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(Circulation. 1998;98:376.)
© 1998 American Heart Association, Inc.

Images in Cardiovascular Medicine

Iliac Compression Syndrome

Yuzuru Sakakibara, MD; ; Yuka Kujiraoka, MD

From the Department of Surgery, Institute of Clinical Medicine, University of Tsukuba, and Department of Radiology (Y.K.), Tsukuba Memorial Hospital, Tsukuba Science City, Ibaraki, Japan.

Correspondence to Dr Y. Sakakibara, Department of Surgery, Institute of Clinical Medicine, University of Tsukuba, 1–1-1 Tennodai, Tsukuba Science City, Ibaraki, 305, Japan.

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.

View larger version (103K): [in this window] [in a new window]   Figure 1.

View larger version (108K): [in this window] [in a new window]   Figure 2.

Footnotes

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.

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