Nutcracker syndrome due to left-sided inferior vena cava compression and treated with superior mesenteric artery transposition Bao-Zhong Yang, MD, Zhen.

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Presentation transcript:

Nutcracker syndrome due to left-sided inferior vena cava compression and treated with superior mesenteric artery transposition Bao-Zhong Yang, MD, Zhen Li, MD, Zhong-Gao Wang, MD Journal of Vascular Surgery Volume 56, Issue 3, Pages 816-818 (September 2012) DOI: 10.1016/j.jvs.2012.03.021 Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 1 A volume-rendered computed tomography angiography shows compression of the left-sided inferior vena cava (IVC) by the superior mesenteric artery (SMA). Journal of Vascular Surgery 2012 56, 816-818DOI: (10.1016/j.jvs.2012.03.021) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 2 A, An operative photograph shows that the superior mesenteric artery (SMA) (looped with white tape) compressed the left-sided inferior vena cava (IVC) and created a distinctive congestion of the malformed IVC. The aorta is looped with red tape. B, The left-sided IVC was easily collapsed by a slight pressing with the tweezers tip on the left, indicating a pressure reduction. The SMA artery-to-aorta anastomosis is on the right. Journal of Vascular Surgery 2012 56, 816-818DOI: (10.1016/j.jvs.2012.03.021) Copyright © 2012 Society for Vascular Surgery Terms and Conditions