Renal nutcracker syndrome: Surgical options

Sameh M. Said, Peter Gloviczki, Manju Kalra, Gustavo S. Oderich, Audra A. Duncan, Mark D. Fleming, Thomas C. Bower

Research output: Contribution to journalReview article

25 Scopus citations

Abstract

Nutcracker syndrome is one of the abdominal venous entrapments, caused by compression of the left renal vein between the superior mesenteric artery and the abdominal aorta. Occasionally a retro-aortic left renal vein is compressed between the aorta and the vertebral body (posterior nutcracker syndrome). The renal vein distal to the compression is dilated and renal venous flow can be diverted toward the pelvis through an incompetent, refluxing, left ovarian or spermatic vein, in addition to drainage through retroperitoneal venous collaterals. In this article, we describe the different surgical and endovascular techniques that are used to treat this syndrome.

Original languageEnglish (US)
Pages (from-to)35-42
Number of pages8
JournalSeminars in Vascular Surgery
Volume26
Issue number1
DOIs
StatePublished - Mar 1 2013

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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    Said, S. M., Gloviczki, P., Kalra, M., Oderich, G. S., Duncan, A. A., D. Fleming, M., & Bower, T. C. (2013). Renal nutcracker syndrome: Surgical options. Seminars in Vascular Surgery, 26(1), 35-42. https://doi.org/10.1053/j.semvascsurg.2013.04.006