Left renal vein nutcracker syndrome and concurrent IVC duplication: Surgical treatment

Multiple vascular anomalies may be encountered in patients with nutcracker syndrome; further compounding the surgical complexity in managing this condition. A 28-year-old male presented with persistent flank pain and hematuria. Imaging revealed narrowing of the left renal vein at the aortomesenteric...

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Detalles Bibliográficos
Autores principales: Midenberg, Eric, Subu, Rajeev, Sekhar, Aarti, Browne, Brendan, Duwayri, Yazan, Master, Viraj A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Trauma and Reconstruction
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8397895/
https://www.ncbi.nlm.nih.gov/pubmed/34485087
http://dx.doi.org/10.1016/j.eucr.2021.101819
Descripción
Sumario:Multiple vascular anomalies may be encountered in patients with nutcracker syndrome; further compounding the surgical complexity in managing this condition. A 28-year-old male presented with persistent flank pain and hematuria. Imaging revealed narrowing of the left renal vein at the aortomesenteric junction, and a dilated vein consistent with the left gonadal vein. On surgical exploration, a duplicated IVC was found. The patient underwent a right caval-to-left caval bypass using a cryopreserved femoral vein homograft. The surgery was well tolerated and completely resolved the patient's symptoms.

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