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 transcript:

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 415-421 (October 1988) DOI: 10.1016/0741-5214(88)90104-8 Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

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, 415-421DOI: (10.1016/0741-5214(88)90104-8) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

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, 415-421DOI: (10.1016/0741-5214(88)90104-8) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Groove at left renocaval junction (large arrow) at site of compression by SMA (small arrow). Journal of Vascular Surgery 1988 8, 415-421DOI: (10.1016/0741-5214(88)90104-8) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Ring-reinforced PTFE prosthetic stent in position around left renal vein. Journal of Vascular Surgery 1988 8, 415-421DOI: (10.1016/0741-5214(88)90104-8) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

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, 415-421DOI: (10.1016/0741-5214(88)90104-8) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions