OBJECTIVE: A retrospective study was undertaken to examine therapeutic strategies used in 6 patients with left renal venal nutcracker phenomenon. METHODS: Three patients underwent surgical transposition of the superior mesenteric artery. Three patients underwent endograft stent implantations with intervention. RESULTS: All 6 cases were completely relieved of left renal vein compression after the operations, leading to improved clinical symptoms and normal urine tests. CONCLUSIONS: Transposition of the superior mesenteric artery is a feasible method, but leads to complications and great trauma. Treating left renal venal nutcracker phenomenon with endografting techniques is minimally invasive in certain cases, and seems to have a prospective future.
OBJECTIVE: A retrospective study was undertaken to examine therapeutic strategies used in 6 patients with left renal venal nutcracker phenomenon. METHODS: Three patients underwent surgical transposition of the superior mesenteric artery. Three patients underwent endograft stent implantations with intervention. RESULTS: All 6 cases were completely relieved of left renal vein compression after the operations, leading to improved clinical symptoms and normal urine tests. CONCLUSIONS: Transposition of the superior mesenteric artery is a feasible method, but leads to complications and great trauma. Treating left renal venal nutcracker phenomenon with endografting techniques is minimally invasive in certain cases, and seems to have a prospective future.
Authors: Federica A Vianello; Marta B M Mazzoni; Gabriëlla G A M Peeters; Emilio F Fossali; Pietro Camozzi; Mario G Bianchetti; Gregorio P Milani Journal: Pediatr Nephrol Date: 2015-01-28 Impact factor: 3.714
Authors: Luis Felipe Couto Novaes; Leonardo Neves da Silva Saguia; Carlos Alberto Di Migueli; Marco Aurélio de Castro Perin; Felipe Alago Loprete; Nayara Pereira Santana; Eli Leiser Nagiel Chervin; Luis Augusto Mello Sinisgalli; Mario Perez Gimenez Journal: Int J Surg Case Rep Date: 2017-01-28