Aim: May Thurner syndrome (MTS) is a rare syndrome associated with Deep Venous Thrombosis (DVT). The incidence ranging from 19–49% in patients with left sided venous thrombosis. This is due to chronic compression of left common iliac vein against lumbar vertebral bodies by the Overlying right common iliac artery. Even though anticoagulation remains the treatment of acute DVT, catheter based Thrombolysis combined with stenting provides a safe and effective mode of treatment.

Materials and Methods: A 23 years old nursing student presented with 6 months history of left lower limb swelling with no Associated pain or paraesthesia. CT peripheral aortogram and venogram was done, which showed compression of left common iliac vein by the overriding right common iliac Artery.

Result: Patient was treated with Venous Self-expanding Stent 9Fr 16mm diameter x 80mm length (AbreMedtronic).

Conclusion: Surgical interventions are available for this ailment which carries more risk compared to Endovascular Techniques.