Anterior nutcracker syndrome in the setting of a duplicated inferior vena cava

Anterior nutcracker syndrome in the setting of a duplicated inferior vena cava

Nutcracker syndrome is a rare vascular disorder that involves compression of the left renal vein (LRV), most often at the level of the aortomesenteric angle. In some cases, this compression syndrome arises in the setting of unusual vascular anatomic variants. We describe the case of a 43-year-old wo...

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Main Authors: Winona W. Wu, MD, Gaurav Sharma, MD, Matthew T. Menard, MD
Format: Article
Language:English
Published: Elsevier 2020-03-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428720300046
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spelling doaj-dd2b70ecd18e4eeaad62549999e739682020-11-25T01:14:05ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872020-03-0161121125Anterior nutcracker syndrome in the setting of a duplicated inferior vena cavaWinona W. Wu, MD0Gaurav Sharma, MD1Matthew T. Menard, MD2Division of Vascular and Endovascular Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass; Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MassDivision of Vascular and Endovascular Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MassDivision of Vascular and Endovascular Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass; Correspondence: Matthew T. Menard, MD, Division of Vascular and Endovascular Surgery, Brigham and Women's Hospital, 15 Francis St, Boston, MA 02115Nutcracker syndrome is a rare vascular disorder that involves compression of the left renal vein (LRV), most often at the level of the aortomesenteric angle. In some cases, this compression syndrome arises in the setting of unusual vascular anatomic variants. We describe the case of a 43-year-old woman with a duplicated inferior vena cava who was found to have LRV compression on magnetic resonance angiography and venography with intravascular ultrasound. The patient was successfully treated with concurrent transposition of the LRV and left-sided inferior vena cava, with complete resolution of symptoms. Keywords: Nutcracker syndrome, Duplicated IVC, Renal vein transposition, IVUShttp://www.sciencedirect.com/science/article/pii/S2468428720300046
collection DOAJ
language English
format Article
sources DOAJ
author Winona W. Wu, MD
Gaurav Sharma, MD
Matthew T. Menard, MD
spellingShingle Winona W. Wu, MD
Gaurav Sharma, MD
Matthew T. Menard, MD
Anterior nutcracker syndrome in the setting of a duplicated inferior vena cava
Journal of Vascular Surgery Cases and Innovative Techniques
author_facet Winona W. Wu, MD
Gaurav Sharma, MD
Matthew T. Menard, MD
author_sort Winona W. Wu, MD
title Anterior nutcracker syndrome in the setting of a duplicated inferior vena cava
title_short Anterior nutcracker syndrome in the setting of a duplicated inferior vena cava
title_full Anterior nutcracker syndrome in the setting of a duplicated inferior vena cava
title_fullStr Anterior nutcracker syndrome in the setting of a duplicated inferior vena cava
title_full_unstemmed Anterior nutcracker syndrome in the setting of a duplicated inferior vena cava
title_sort anterior nutcracker syndrome in the setting of a duplicated inferior vena cava
publisher Elsevier
series Journal of Vascular Surgery Cases and Innovative Techniques
issn 2468-4287
publishDate 2020-03-01
description Nutcracker syndrome is a rare vascular disorder that involves compression of the left renal vein (LRV), most often at the level of the aortomesenteric angle. In some cases, this compression syndrome arises in the setting of unusual vascular anatomic variants. We describe the case of a 43-year-old woman with a duplicated inferior vena cava who was found to have LRV compression on magnetic resonance angiography and venography with intravascular ultrasound. The patient was successfully treated with concurrent transposition of the LRV and left-sided inferior vena cava, with complete resolution of symptoms. Keywords: Nutcracker syndrome, Duplicated IVC, Renal vein transposition, IVUS
url http://www.sciencedirect.com/science/article/pii/S2468428720300046
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AT gauravsharmamd anteriornutcrackersyndromeinthesettingofaduplicatedinferiorvenacava
AT matthewtmenardmd anteriornutcrackersyndromeinthesettingofaduplicatedinferiorvenacava
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