Ali Ahmed Azhar, Abdelgawad Mostafa M, Soliman Mosaad A, Mowafy Khalid A
Department of Vascular Surgery, Cardiothoracic and Vascular Surgery Center (CVSC), University Hospital, Mansoura University, Mansoura, Egypt.
Vasc Endovascular Surg. 2025 Oct;59(7):783-787. doi: 10.1177/15385744251355225. Epub 2025 Jul 2.
AimTo report on a case of renal vein anterior nutcracker syndrome (ANCS) that was treated using saphenous vein bypass after a failed attempt of renal vein transposition.CaseA 42-year-old female presented with gross hematuria and flank pain. Computed tomography revealed a left renal vein (LRV) anterior nutcracker syndrome. An attempt to perform LRV transposition failed due to short vein length. A saphenous bypass was then harvested to perform a bypass between the inferior vena cava and LRV. At 6-month follow-up, the patient remained symptom-free, and imaging confirmed graft patency.ConclusionSaphenous vein bypass presents a viable option in patients with short renal vein or failed renal vein transposition in cases of ANCS.
目的报告一例肾静脉前胡桃夹综合征（ANCS）患者，在肾静脉转位术失败后采用大隐静脉旁路移植术治疗的病例。
病例一名42岁女性，出现肉眼血尿和侧腹疼痛。计算机断层扫描显示左肾静脉（LRV）前胡桃夹综合征。由于静脉长度短，肾静脉转位术尝试失败。随后采集大隐静脉进行下腔静脉与左肾静脉之间的旁路移植术。随访6个月时，患者无症状，影像学检查证实移植物通畅。
结论对于ANCS患者肾静脉短或肾静脉转位术失败的情况，大隐静脉旁路移植术是一种可行的选择。
