Treatment of six cases of left renal nutcracker phenomenon: surgery and endografting.

Author: Hongkun ZHANG ¹ ; Nan ZHANG ; Ming LI ; Wei JIN ; Songling PAN ; Zhonggao WANG ; Hua FENG
Author Information

1. Department of Vascular Surgery, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China. doczhk@yahoo.com.cn
Publication Type:Journal Article
MeSH: Adolescent; Adult; Constriction, Pathologic; surgery; Humans; Male; Mesenteric Artery, Superior; surgery; Renal Veins; Retrospective Studies; Stents; Syndrome
From: Chinese Medical Journal 2003;116(11):1782-1784
CountryChina
Language:English
Abstract:
OBJECTIVEA retrospective study was undertaken to examine therapeutic strategies used in 6 patients with left renal venal nutcracker phenomenon.
METHODSThree patients underwent surgical transposition of the superior mesenteric artery. Three patients underwent endograft stent implantations with intervention.
RESULTSAll 6 cases were completely relieved of left renal vein compression after the operations, leading to improved clinical symptoms and normal urine tests.
CONCLUSIONSTransposition of the superior mesenteric artery is a feasible method, but leads to complications and great trauma. Treating left renal venal nutcracker phenomenon with endografting techniques is minimally invasive in certain cases, and seems to have a prospective future.