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Mesoaortic compression of the left renal vein (the so-called nutcracker syndrome): Repair by a new stenting procedure  Robert W. Barnes, MD, Homer L.

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Presentation on theme: "Mesoaortic compression of the left renal vein (the so-called nutcracker syndrome): Repair by a new stenting procedure  Robert W. Barnes, MD, Homer L."— Presentation transcript:

1 Mesoaortic compression of the left renal vein (the so-called nutcracker syndrome): Repair by a new stenting procedure  Robert W. Barnes, MD, Homer L. Fleisher, MD, John F. Redman, MD, John Wayne Smith, MD, David L. Harshfield, MD, Ernest J. Ferris, MD  Journal of Vascular Surgery  Volume 8, Issue 4, Pages (October 1988) DOI: / (88) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2 Fig. 1 Duplex scan (transverse right anterior oblique view) of left renal vein between SMA (small arrow) and aorta (large arrow). Journal of Vascular Surgery 1988 8, DOI: ( / (88) ) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3 Fig. 2 Retrograde left renal phlebogram shows outflow via dilated left renal pelviureteral and ovarian venous varices. No contrast material enters the inferior vena cava. Journal of Vascular Surgery 1988 8, DOI: ( / (88) ) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

4 Fig. 3 Groove at left renocaval junction (large arrow) at site of compression by SMA (small arrow). Journal of Vascular Surgery 1988 8, DOI: ( / (88) ) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

5 Fig. 4 Ring-reinforced PTFE prosthetic stent in position around left renal vein. Journal of Vascular Surgery 1988 8, DOI: ( / (88) ) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

6 Fig. 5 Postoperative (1 month) retrograde left renal digital phlebogram shows free flow of contrast material into inferior vena cava (large arrow) and diminution in caliber of pelviureteric varices (small arrow). Journal of Vascular Surgery 1988 8, DOI: ( / (88) ) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions


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