May-Thurner syndrome in renal transplantation

Venous complications after renal transplantation are uncommon but are assoc iated with significant morbidity and graft loss. Recipients with left commo n iliac vein compression due to an overlying common iliac artery (May-Thurn er syndrome) may be predisposed to venous complications. We discuss the car e of a living donor kidney transplant recipient who developed an occlusion of the iliac vein secondary to a combination of a hematoma and the underlyi ng presence of May-Thurner syndrome. Endovascular stenting of the two areas of compression in the iliac vein was successful in restoring adequate veno us return, while maintaining normal renal allograft function.