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...

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Main Authors:	Kristin Stawiarski, MD, Matthew Wosnitzer, MD, Young Erben, MD
Format:	Article
Language:	English
Published:	Elsevier 2017-09-01
Series:	Journal of Vascular Surgery Cases and Innovative Techniques
Online Access:	http://www.sciencedirect.com/science/article/pii/S2468428717300333

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spelling	doaj-677281c71d944a4b91be019eac52bc542020-11-24T20:53:49ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872017-09-013314214510.1016/j.jvscit.2017.04.003A novel hybrid left renal vein transposition and endovascular stenting technique for the treatment of posterior nutcracker syndromeKristin Stawiarski, MD0Matthew Wosnitzer, MD1Young Erben, MD2Department of Internal Medicine, Yale New Haven Health, Bridgeport Hospital, Bridgeport, ConnDepartment of Urology, Yale New Haven Health, Northeast Medical Group, Fairfield, ConnSection of Vascular and Endovascular Surgery, Yale University, New Haven, ConnPosterior 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 tomography findings were consistent with posterior nutcracker syndrome. He underwent a novel hybrid operation that included left renal vein transposition followed by endovascular stenting. Repeated imaging at 3 and 12 months revealed a patent stent with complete resolution of symptoms.http://www.sciencedirect.com/science/article/pii/S2468428717300333
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Kristin Stawiarski, MD Matthew Wosnitzer, MD Young Erben, MD
spellingShingle	Kristin Stawiarski, MD Matthew Wosnitzer, MD Young Erben, MD A novel hybrid left renal vein transposition and endovascular stenting technique for the treatment of posterior nutcracker syndrome Journal of Vascular Surgery Cases and Innovative Techniques
author_facet	Kristin Stawiarski, MD Matthew Wosnitzer, MD Young Erben, MD
author_sort	Kristin Stawiarski, MD
title	A novel hybrid left renal vein transposition and endovascular stenting technique for the treatment of posterior nutcracker syndrome
title_short	A novel hybrid left renal vein transposition and endovascular stenting technique for the treatment of posterior nutcracker syndrome
title_full	A novel hybrid left renal vein transposition and endovascular stenting technique for the treatment of posterior nutcracker syndrome
title_fullStr	A novel hybrid left renal vein transposition and endovascular stenting technique for the treatment of posterior nutcracker syndrome
title_full_unstemmed	A novel hybrid left renal vein transposition and endovascular stenting technique for the treatment of posterior nutcracker syndrome
title_sort	novel hybrid left renal vein transposition and endovascular stenting technique for the treatment of posterior nutcracker syndrome
publisher	Elsevier
series	Journal of Vascular Surgery Cases and Innovative Techniques
issn	2468-4287
publishDate	2017-09-01
description	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 tomography findings were consistent with posterior nutcracker syndrome. He underwent a novel hybrid operation that included left renal vein transposition followed by endovascular stenting. Repeated imaging at 3 and 12 months revealed a patent stent with complete resolution of symptoms.
url	http://www.sciencedirect.com/science/article/pii/S2468428717300333
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A novel hybrid left renal vein transposition and endovascular stenting technique for the treatment of posterior nutcracker syndrome

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