Treatment of six cases of left renal nutcracker phenomenon: surgery and endografting.
OBJECTIVE
A retrospective study was undertaken to examine therapeutic strategies used in 6 patients with left renal venal nutcracker phenomenon.


METHODS
Three patients underwent surgical transposition of the superior mesenteric artery. Three patients underwent endograft stent implantations with intervention.


RESULTS
All 6 cases were completely relieved of left renal vein compression after the operations, leading to improved clinical symptoms and normal urine tests.


CONCLUSIONS
Transposition 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.
Zhang
Hongkun
H
Department of Vascular Surgery, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China. doczhk@yahoo.com.cn
Zhang
Nan
N
Li
Ming
M
Jin
Wei
W
Pan
Songling
S
Wang
Zhonggao
Z
Feng
Hua
H
D000293:Adolescent; D000328:Adult; D003251:Constriction, Pathologic / Q000601:surgery; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior / Q000601:surgery; D012082:Renal Veins; D012189:Retrospective Studies; D015607:Stents; D013577:Syndrome