Gonadal Vein Transposition in the Treatment of Nutcracker Syndrome

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Left renal vein transposition for treatment of the Nutcracker syndrome.

The nutcracker syndrome refers to compression of the left renal vein between the aorta and the superior mesenteric artery, which results in renal vein and left gonadal vein varices. Herein, we report our experience with left renal vein transposition for treatment of the nutcracker syndrome. To the best of our knowledge, this is the first reported case of the left renal vein transposition for tr...

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Left renal vein transposition is effective for posterior nutcracker syndrome.

An 8-year-old girl was enrolled in hospital with intermittent gross hematuria in a period of 3 years. Bloody efflux from the left ureteral orifice was diagnosed in this patient with urethrocystoscopy. A retroaortic left renal vein appeared to be compressed by the aorta as detected by computerized tomography. The left renal vein was compressed between the aorta and the spine. A groove in the ant...

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Robotic-assisted left renal vein transposition as a novel surgical technique for the treatment of renal nutcracker syndrome

Renal nutcracker syndrome is an anatomic anomaly characterized by the compression of the left renal vein between the superior mesenteric artery and the aorta or between the aorta and the vertebral body. Diagnosis is often challenging. Common presenting symptoms include hematuria, abdominal pain, and pelvic congestion. Several open and endovascular techniques have been described to treat this sy...

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A novel hybrid left renal vein transposition and endovascular stenting technique for the treatment of posterior nutcracker syndrome

Posterior nutcracker syndrome occurs when a retroaortic left renal vein becomes compressed between the abdominal aorta and the lumbar spine. Although open surgical approaches remain the treatment of choice, endovascular stenting has been used successfully. We describe a case of a 28-year-old man who presented with microscopic hematuria, left-sided flank pain, and testicular swelling. Computed t...

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Renal Vein Stenting for Nutcracker Syndrome

APRIL 2010 I ENDOVASCULAR TODAY I 25 E ntrapment of the left renal vein (LRV) between the abdominal aorta and superior mesenteric artery (SMA) causing the classic clinical triad of hematuria, varicocele, and left abdominal or flank pain was first described in 1950.1 Later, this array of symptoms was termed “the nutcracker syndrome” by De Schepper in 1972.2 Endovascular technology has evolved as...

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ژورنال

عنوان ژورنال: Journal of Vascular Surgery

سال: 2016

ISSN: 0741-5214

DOI: 10.1016/j.jvs.2016.06.036