Abstract

ALCOCER-GAMBA, Marco Antonio et al. Successful endovascular treatment of nutcracker's syndrome with self-expanding stent. Arch. Cardiol. Méx. [online]. 2012, vol.82, n.4, pp.303-307. ISSN 1665-1731.  https://doi.org/10.1016/j.acmx.2012.09.006.

Nutcracker's syndrome is caused by compression of the left renal vein between aorta and superior mesenteric artery, causing extrinsic compression generated functional stenosis. This causes congestion and hypertension of the left renal vein resulting in insufficiency and left gonadal vein varicose, unilateral hematuria and left flank pain, diagnosis is rarely identified by their low frequency and difficulty of suspecting, treatment of nutcracker's syndrome include renal autotransplantation, transposition of superior mesenteric artery revascularization and recently stenting in renal vein, we present the case of a patient, who showed this pathology by diagnostic support by image studies, was performed successfully implant a self-expanding stent with immediate success criteria by angiography, collateral reduction and by disappearance of cava/renal gradient.

Keywords : Nutcracker's syndrome; Left renal vein; Hematuria; Endovascular treatment; Self-expanding stent; Mexico.

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