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Nutcracker syndrome due to left-sided inferior vena cava compression and treated with superior mesenteric artery transposition

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机构: [1]Department of Vascular Surgery, Beijing Chao Yang Hospital of Capital University of Medical Sciences,Beijing, China [2]the Department of Thoracic and Cardiovascular Surgery, Second Artillery General Hospital of the People’s Liberation Army,Beijing, China [3]the Beijing Xuan Wu Hospital and Vascular Institute of Capital University of Medical Sciences,Beijing, China
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Left renal vein hypertension secondary to left renal vein compression has been described as a cause of persistent hematuria in nutcracker syndrome. Malformation of the inferior vena cava (IVC), although rare and frequently asymptomatic, may also result in left renal vein hypertension, with resultant hematuria when it is severely compressed. We report a 20-year-old man with persistent hematuria due to compression of left-sided IVC. The patient was successfully treated by means of superior mesenteric artery (SMA) transposition and division of the fibrous bundle at the origin of the SMA. His postoperative course was uneventful. Compression of the left IVC is a unique form of nutcracker syndrome. SMA transposition, together with division of a fibrous bundle at the origin of the SMA if present, is a safe and effective surgical procedure for this special entity. (J Vasc Surg 2012;56:816-8.)

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出版当年[2011]版:
大类 | 2 区 医学
小类 | 2 区 外科 3 区 外周血管病
最新[2023]版:
大类 | 2 区 医学
小类 | 2 区 外周血管病 2 区 外科
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出版当年[2010]版:
Q1 SURGERY Q1 PERIPHERAL VASCULAR DISEASE
最新[2023]版:
Q1 PERIPHERAL VASCULAR DISEASE Q1 SURGERY

影响因子: 最新[2023版] 最新五年平均 出版当年[2010版] 出版当年五年平均 出版前一年[2009版] 出版后一年[2011版]

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第一作者机构: [1]Department of Vascular Surgery, Beijing Chao Yang Hospital of Capital University of Medical Sciences,Beijing, China
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通讯机构: [*1]Department of Thoracic and Cardiovascular Surgery, Second Artillery General Hospital of PLA, Beijing, 100088 [*2]Beijing Xuan Wu Hospital and Vascular Institute of Capital University of Medical Sciences, Beijing, 100053, China
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