A novel hybrid left renal vein transposition and endovascular stenting technique for the treatment of posterior nutcracker syndrome

Authors

Kristin Stawiarski, Department of Internal Medicine, Yale New Haven Health, Bridgeport Hospital, Bridgeport, Conn.
Matthew Wosnitzer, Department of Urology, Yale New Haven Health, Northeast Medical Group, Fairfield, Conn.
Young Erben, Section of Vascular and Endovascular Surgery, Yale University, New Haven, Conn.

Document Type

Article

Publication Title

Journal of vascular surgery cases and innovative techniques

Abstract

Posterior nutcracker syndrome occurs when a retroaortic left renal vein becomes compressed between the abdominal aorta and the lumbar spine. Although open surgical approaches remain the treatment of choice, endovascular stenting has been used successfully. We describe a case of a 28-year-old man who presented with microscopic hematuria, left-sided flank pain, and testicular swelling. Computed tomography findings were consistent with posterior nutcracker syndrome. He underwent a novel hybrid operation that included left renal vein transposition followed by endovascular stenting. Repeated imaging at 3 and 12 months revealed a patent stent with complete resolution of symptoms.

First Page

142

Last Page

145

DOI

10.1016/j.jvscit.2017.04.003

Publication Date

9-1-2017

Recommended Citation

Stawiarski, Kristin; Wosnitzer, Matthew; and Erben, Young, "A novel hybrid left renal vein transposition and endovascular stenting technique for the treatment of posterior nutcracker syndrome" (2017). Surgery. 253.
https://scholar.bridgeporthospital.org/surgery/253

Identifier

29349403 (pubmed); PMC5764855 (pmc); 10.1016/j.jvscit.2017.04.003 (doi); S2468-4287(17)30033-3 (pii)