Presentation is loading. Please wait.

Presentation is loading. Please wait.

Left renal vein transposition for nutcracker syndrome

Published byMinka Jovičić Modified over 5 years ago

Similar presentations

Presentation on theme: "Left renal vein transposition for nutcracker syndrome"— Presentation transcript:

1 Left renal vein transposition for nutcracker syndrome
Nanette R. Reed, MD, Manju Kalra, MBBS, Thomas C. Bower, MD, Terri J. Vrtiska, MD, Joseph J. Ricotta, MD, Peter Gloviczki, MD  Journal of Vascular Surgery  Volume 49, Issue 2, Pages (February 2009) DOI: /j.jvs Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 A, Diagramatic representation of the nutcracker syndrome with extrinsic compression of the left renal vein (LRV) by the superior mesenteric artery (SMA) at its junction with the inferior vena cava (IVC), causing dilatation of the peripheral LRV. B, Diagramatic representation of the disconnection of the LRV from the IVC, oversewing of its orifice and the caudal transposition with an end-to-side anastomosis with the IVC. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 A, Computerized tomography (CT scan) of the abdomen in a 20-year-old male patient with left flank pain and varicocele of 1 year duration. Extrinsic compression of the left renal vein (LRV) by the superior mesenteric artery (SMA) seen on axial image. B, Sagittal view of abdominal CT scan showing LRV compression by the SMA. C, Intraoperative photograph of LRV transposition. A side-biting clamp is applied on the IVC across the LRV orifice. The LRV is disconnected from the inferior vena cava (IVC) and the orifice oversewn. D, The completed procedure showing caudal transposition of the LRV (arrow). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 A, Computerized tomography (CT scan) of the abdomen in a 30-year-old female patient with left flank pain of 1 year duration. Atretic and thrombosed left renal vein (LRV) (arrow) secondary to extrinsic compression by the superior mesenteric artery (SMA). B, Intraoperative photograph showing the abnormal, thickened LRV. Intraoperative LRV/ inferior vena cava (IVC) pressure gradient was 8 mm Hg. C, Intraluminal view showing the stenotic segment of LRV with organized thrombus. Inset shows organized thrombus removed by end-venectomy. D, The completed procedure following end-venectomy, saphenous vein patch venoplasty, and caudal transposition. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

5 Fig 4 A, Retrograde venography in a 32-year-old male patient with left flank pain and gross hematuria for 1 year. The left renal vein (LRV) is partially compressed by the superior mesenteric artery (SMA). A LRV/inferior vena cava (IVC) pressure difference of 5 mm Hg was recorded. No collaterals were seen between the point of compression and the kidney. B, Retrograde venography in a 40-year-old female patient with left flank pain and gross hematuria for 6 months. The LRV is compressed by the SMA. A LRV/IVC pressure difference of 4 mm Hg was recorded. Extensive draining collaterals were seen around the compressed region. This patient had recurrent hematuria following flank trauma after remaining asymptomatic for 5 years postoperatively. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

6 Fig 5 Management algorithm.
Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

Download ppt "Left renal vein transposition for nutcracker syndrome"

Similar presentations

Bilateral renal artery occlusion due to intraoperative retrograde migration of an abdominal aortic aneurysm endograft  Kaan Inan, MD, Alper Ucak, MD,

Bilateral renal artery occlusion due to intraoperative retrograde migration of an abdominal aortic aneurysm endograft  Kaan Inan, MD, Alper Ucak, MD,
Endovascular treatment of renal artery aneurysms and renal arteriovenous fistulas  Zhongming Zhang, MD, Min Yang, MD, Li Song, MD, Xiaoqiang Tong, MD,

Endovascular treatment of renal artery aneurysms and renal arteriovenous fistulas  Zhongming Zhang, MD, Min Yang, MD, Li Song, MD, Xiaoqiang Tong, MD,
Factors affecting outcome of open and hybrid reconstructions for nonmalignant obstruction of iliofemoral veins and inferior vena cava  Nitin Garg, MBBS,

Factors affecting outcome of open and hybrid reconstructions for nonmalignant obstruction of iliofemoral veins and inferior vena cava  Nitin Garg, MBBS,
Escherichia coli primary aortitis presenting as sequelae of incompletely treated urinary tract infection  Jill Kathleen Johnstone, MD, Manuel Garcia-Toca,

Escherichia coli primary aortitis presenting as sequelae of incompletely treated urinary tract infection  Jill Kathleen Johnstone, MD, Manuel Garcia-Toca,
A novel hybrid left renal vein transposition and endovascular stenting technique for the treatment of posterior nutcracker syndrome  Kristin Stawiarski,

A novel hybrid left renal vein transposition and endovascular stenting technique for the treatment of posterior nutcracker syndrome  Kristin Stawiarski,
Primary leiomyosarcoma of the inferior vena cava: Reports of infrarenal and suprahepatic caval involvement  Michael N. Tameo, MD, Keith D. Calligaro,

Primary leiomyosarcoma of the inferior vena cava: Reports of infrarenal and suprahepatic caval involvement  Michael N. Tameo, MD, Keith D. Calligaro,
Quiz Page October 2014 American Journal of Kidney Diseases

Quiz Page October 2014 American Journal of Kidney Diseases
Extracranial infected carotid artery aneurysm

Extracranial infected carotid artery aneurysm
Robotic-assisted left renal vein transposition as a novel surgical technique for the treatment of renal nutcracker syndrome  Anthony H. Chau, MD, Haidar.

Robotic-assisted left renal vein transposition as a novel surgical technique for the treatment of renal nutcracker syndrome  Anthony H. Chau, MD, Haidar.
Endovascular extraction of a migrated large self-expanding laser-cut renal venous stent from the right ventricle  Tim Sebastian, MD, Gabor Erdoes, MD,

Endovascular extraction of a migrated large self-expanding laser-cut renal venous stent from the right ventricle  Tim Sebastian, MD, Gabor Erdoes, MD,
A novel hybrid left renal vein transposition and endovascular stenting technique for the treatment of posterior nutcracker syndrome  Kristin Stawiarski,

A novel hybrid left renal vein transposition and endovascular stenting technique for the treatment of posterior nutcracker syndrome  Kristin Stawiarski,
Successful thrombolysis, angioplasty, and stenting of delayed thrombosis in the vena cava following percutaneous vertebroplasty with polymethylmethacrylate.

Successful thrombolysis, angioplasty, and stenting of delayed thrombosis in the vena cava following percutaneous vertebroplasty with polymethylmethacrylate.
Inferior vena cava graft-enteric fistula after extended hepatectomy with caval replacement  Pietro Addeo, MD, Edoardo Rosso, MD, Elie Oussoultzoglou,

Inferior vena cava graft-enteric fistula after extended hepatectomy with caval replacement  Pietro Addeo, MD, Edoardo Rosso, MD, Elie Oussoultzoglou,
Factors affecting outcome of open and hybrid reconstructions for nonmalignant obstruction of iliofemoral veins and inferior vena cava  Nitin Garg, MBBS,

Factors affecting outcome of open and hybrid reconstructions for nonmalignant obstruction of iliofemoral veins and inferior vena cava  Nitin Garg, MBBS,
Direct thrombolytic therapy in portal and mesenteric vein thrombosis

Direct thrombolytic therapy in portal and mesenteric vein thrombosis
Acute bilateral renal artery chimney stent thrombosis after endovascular repair of a juxtarenal abdominal aortic aneurysm  Salvatore T. Scali, MD, Robert.

Acute bilateral renal artery chimney stent thrombosis after endovascular repair of a juxtarenal abdominal aortic aneurysm  Salvatore T. Scali, MD, Robert.
Revascularization for acute mesenteric ischemia

Revascularization for acute mesenteric ischemia
Surgical management of a neuroendocrine tumor of the inferior vena cava  George Ransford, MD, Rajnikanth Ayyathurai, MD, Gustavo Fernandez, MD, Gaetano.

Surgical management of a neuroendocrine tumor of the inferior vena cava  George Ransford, MD, Rajnikanth Ayyathurai, MD, Gustavo Fernandez, MD, Gaetano.
Christopher T. Healey, MD, Neil Halin, DO, Mark Iafrati, MD 

Christopher T. Healey, MD, Neil Halin, DO, Mark Iafrati, MD 
Endovascular extraction of a migrated large self-expanding laser-cut renal venous stent from the right ventricle  Tim Sebastian, MD, Gabor Erdoes, MD,

Endovascular extraction of a migrated large self-expanding laser-cut renal venous stent from the right ventricle  Tim Sebastian, MD, Gabor Erdoes, MD,

Similar presentations

Ads by Google