May-Thurner syndrome is a condition in which there is impaired venous
return due to compression of the left common iliac vein by the overlyi
ng right common iliac artery. The impedance of flow occurs both by the
compressive force of the artery against the Vein and by resultant int
raluminal web formation inside the vein. Because of the mechanical nat
ure of the obstruction, conservative management of these patients has
resulted in poor outcomes. Typically, operative therapy is recommended
and perused via various approaches. We have recently treated a 15-yea
r-old patient with this disorder utilizing endovascular surgical techn
iques with an excellent outcome. A 1-year follow-up is presented.