Baldi Sebastián, Rabellino Martín, Zander Tobias, González Gabriela, Maynar Manuel
Department of Endovascular Therapy, Hospital HOSPITEN, Santa Cruz de Tenerife, Spain.
Minim Invasive Ther Allied Technol. 2011 Dec;20(6):356-9. doi: 10.3109/13645706.2010.550303. Epub 2011 Jan 27.
The nutcracker syndrome (NS) is a rare condition characterized by the entrapment of the left renal vein (LRV) between the superior mesenteric artery (SMA) and the aorta. Clinically, it presents with flank pain, hematuria, and symptoms of pelvic venous congestion. Several surgical techniques have been described including left renal vein (LRV) transposition, autotransplantation, LRV bypass, superior mesenteric artery (SMA) transposition, gonadocaval bypass and nephrectomy. More recently, endovascular stenting of the renal vein has been proposed. We present two patients with NS who were successfully managed endovascularly, providing satisfactory mid-term clinical and imaging results.
胡桃夹综合征（NS）是一种罕见疾病，其特征为左肾静脉（LRV）被肠系膜上动脉（SMA）和主动脉压迫。临床上，表现为胁腹痛、血尿以及盆腔静脉淤血症状。已描述了多种手术技术，包括左肾静脉（LRV）转位、自体移植、LRV搭桥、肠系膜上动脉（SMA）转位、性腺腔静脉搭桥和肾切除术。最近，有人提出对肾静脉进行血管内支架置入术。我们报告了两名成功接受血管内治疗的胡桃夹综合征患者，中期临床和影像学结果均令人满意。
