May-Thurner Syndrome as a Hidden Etiology of Ischemic Stroke in Young Adults - Takeaways - MDSpire

May-Thurner Syndrome as a Hidden Etiology of Ischemic Stroke in Young Adults

  • By

  • Christine Robbie

  • Yasmeen Nabhani

  • Evan Multala

  • Max Tran

  • Robert Miller

  • May 4, 2026

  • 0 min

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  • 1

    May-Thurner syndrome (MTS) involves compression of the left iliac vein by the right iliac artery, leading to venous stasis and increased DVT risk.

  • 2

    MTS is estimated to account for 2-5% of DVT cases, but its true prevalence may be higher due to many patients remaining asymptomatic.

  • 3

    A 26-year-old female patient with MTS and an atrial septal defect experienced an ischemic stroke due to paradoxical embolism.

  • 4

    Comprehensive evaluations, including echocardiography and imaging, are crucial for diagnosing anatomical variants in young stroke patients.

  • 5

    The patient was managed with antithrombotic therapy and underwent ASD closure, showing no recurrent stroke or venous thromboembolism at follow-up.

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