Left Renal Vein Balloon Venoplasty without Stenting for Management of Symptomatic Nutcracker Syndrome

Nassiri N, Shafritz R, Rahimi S, Patel PB, Araujo L and Thomas J

Department of Surgery, Rutgers Robert Wood Johnson Medical School, USA
Department of General Surgery, Rutgers Robert Wood Johnson Medical School, USA
Medical Student, Rutgers Robert Wood Johnson Medical School, USA

^*Correspondance to: Naiem Nassiri 

 PDF  Full Text DOI: 10.25107/2474-1647.1157

Abstract

Nutcracker Syndrome (NCS) is a rare vascular anomaly involving left renal vein outflow entrapment most commonly secondary to compression between the aorta and the superior mesenteric artery. This can lead to chronic renal venous hypertension which can cause varicosity formation, gonadal vein reflux, hematuria, and if severe enough, renal failure. While open surgical reconstruction is heralded as the gold standard for treatment of this disorder, endovascular treatment is increasingly reported in recent literature. Herein, we present a unique approach to treatment of a severely symptomatic Nutcracker Syndrome via left renal vein outflow venoplasty without stenting performed in conjunction with embolization of refluxing varicosities.

Keywords

Left renal vein; Venoplasty; Stenting; Nutcracker syndrome

Cite the article

Nassiri N, Shafritz R, Rahimi S, Patel PB, Araujo L, Thomas J. Left Renal Vein Balloon Venoplasty without Stenting for Management of Symptomatic Nutcracker Syndrome. Clin Surg. 2016; 1: 1157.