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All Journal Heart Science Journal
Suprapta, Aloysius Yuwono
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Health Professions Immunology & microbiology Medicine & Pharmacology

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Tailoring Management of May-Thurner Syndrome : Case Comparison Suprapta, Aloysius Yuwono; Kurnianingsih, Novi; Elizabeth Damanik, Gracelia Ruth
Heart Science Journal Vol. 5 No. 3 (2024): The Science and Art of Revascularization in Acute Coronary Syndrome
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub/hsj.2024.005.03.15

Abstract

BACKGROUND: May-Thurner syndrome (MTS) is a post-thrombosis syndrome (PTS) of the lower extremity. This disorder results from compression and/or irritation from adjacent crossing the right common iliac artery to the left iliac venous. In this report, we present two management comparisons of patients with left lower DVT with consideration of MTS.CASE ILLUSTRATION: A 49-year-old male soldier presented with chronic unilateral left leg edema and a mild clinical presentation for 9 months. Previous Doppler ultrasonography (DUS) revealed a thrombus in the left venous femoralis. Anticoagulant was given for six months. DUS and CT venography following anticoagulant treatment revealed a thrombus in the left venous femoralis. Venography revealed entire blockage of the left common femoral and left iliac veins, with adequate collateral flow. PTV was attempted twice and failed both times. The patient was following a conservative therapy (walking exercise and stocking compression) that yielded positive outcomes. A 53-year-old male soldier has had unilateral left leg edema for three years, which has increased during the previous three months with ulceration and active bleeding.Previous Doppler ultrasonography revealed a thrombus in the left iliac externa. Anticoagulants and compression stockings were given for eight months, but the symptoms persisted. CT and venography revealed a complete blockage from the left popliteal vein to the iliac vein. Femoral crossover bypass surgery yielded favorable results.CONCLUSION: Clinically moderate MTS demonstrated fair results with conservative treatment, whereas clinically severe MTS showed superior results with bypass surgery.
Multi-modality cardiac imaging in aorta and aortic valve from evaluation to post treatment Suprapta, Aloysius Yuwono; Handari, Saskia Dyah
Heart Science Journal Vol. 6 No. 3 (2025): Advancements in Cardiac Imaging : Unlocking New Perspectives on the Heart Visua
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.hsj.2025.006.03.4

Abstract

Aorta and aortic valve disease are crucial but usually found unintentionally while doing imaging evaluation. Genetic and non-genetical issues can be the source of the disease. Proper evaluation using multimodality of imaging can give an early diagnosis and proper treatment according to recent situation.  Aortic disease and aortic valve disease can result from genetic and non-genetic problems. Echocardiography (transthoracic or transesophageal) can be the first modality to evaluate this disease. Further modalities (computed tomography angiography, magnetic resonance imaging, and positron electromagnetic) can be used as supporting data to make more accurate analyses for diagnosis and evaluation post-treatment. Although they give more accurate images, there are some limitations in each modality. Knowing the benefits and limitations of each modality can make better use of the tools. Multimodality imaging is enhancing in detection of aortic disease and aortic valve disease. Understanding the benefits and limits of each imaging technique is essential for determining the best modality
Co-Authors Elizabeth Damanik, Gracelia Ruth Kurnianingsih, Novi Saskia Dyah Handari