Renocaval bypass using cryopreserved cadaveric homograft in the surgical management of nutcracker syndrome
Nutcracker syndrome is an uncommon condition caused by extrinsic compression of the left renal vein (LRV) between the superior mesenteric artery and aorta. Patients often present with flank pain and haematuria. Open surgical repair with LRV transposition is the most frequently described surgical tre...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-08-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428725001418 |
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| author | Martin Hossack, MBChB, FRCS Colin Chan, MBBS, FRCS |
| author_facet | Martin Hossack, MBChB, FRCS Colin Chan, MBBS, FRCS |
| author_sort | Martin Hossack, MBChB, FRCS |
| collection | DOAJ |
| description | Nutcracker syndrome is an uncommon condition caused by extrinsic compression of the left renal vein (LRV) between the superior mesenteric artery and aorta. Patients often present with flank pain and haematuria. Open surgical repair with LRV transposition is the most frequently described surgical treatment. This requires LRV mobilization, division of tributaries, transposition or bypass, and, when extra length is required to enable a tension-free repair, additional incisions for autologous vein harvest. We present a successful case of surgical treatment of nutcracker syndrome by renocaval bypass using cadaveric vein homograft. |
| format | Article |
| id | doaj-art-595009dd4cf840efa391fb259e8741be |
| institution | Kabale University |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-595009dd4cf840efa391fb259e8741be2025-08-20T03:35:44ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-08-0111410185910.1016/j.jvscit.2025.101859Renocaval bypass using cryopreserved cadaveric homograft in the surgical management of nutcracker syndromeMartin Hossack, MBChB, FRCS0Colin Chan, MBBS, FRCS1Department of Vascular Surgery, South Mersey Arterial (SMART) Centre, Countess of Chester Hospital NHS Foundation Trust, Chester, United KingdomDepartment of Vascular Surgery, South Mersey Arterial (SMART) Centre, Countess of Chester Hospital NHS Foundation Trust, Chester, United Kingdom; Department of Surgery, Wirral University Hospital NHS Foundation Trust, Wirral, United Kingdom; Correspondence: Colin Chan, MBBS, FRCS, Wirral University Teaching Hospital, Arrowe Park Road, Wirral CH45 5PE, United KingdomNutcracker syndrome is an uncommon condition caused by extrinsic compression of the left renal vein (LRV) between the superior mesenteric artery and aorta. Patients often present with flank pain and haematuria. Open surgical repair with LRV transposition is the most frequently described surgical treatment. This requires LRV mobilization, division of tributaries, transposition or bypass, and, when extra length is required to enable a tension-free repair, additional incisions for autologous vein harvest. We present a successful case of surgical treatment of nutcracker syndrome by renocaval bypass using cadaveric vein homograft.http://www.sciencedirect.com/science/article/pii/S2468428725001418Cadaveric homograftNutcracker syndromeVenous bypass |
| spellingShingle | Martin Hossack, MBChB, FRCS Colin Chan, MBBS, FRCS Renocaval bypass using cryopreserved cadaveric homograft in the surgical management of nutcracker syndrome Journal of Vascular Surgery Cases and Innovative Techniques Cadaveric homograft Nutcracker syndrome Venous bypass |
| title | Renocaval bypass using cryopreserved cadaveric homograft in the surgical management of nutcracker syndrome |
| title_full | Renocaval bypass using cryopreserved cadaveric homograft in the surgical management of nutcracker syndrome |
| title_fullStr | Renocaval bypass using cryopreserved cadaveric homograft in the surgical management of nutcracker syndrome |
| title_full_unstemmed | Renocaval bypass using cryopreserved cadaveric homograft in the surgical management of nutcracker syndrome |
| title_short | Renocaval bypass using cryopreserved cadaveric homograft in the surgical management of nutcracker syndrome |
| title_sort | renocaval bypass using cryopreserved cadaveric homograft in the surgical management of nutcracker syndrome |
| topic | Cadaveric homograft Nutcracker syndrome Venous bypass |
| url | http://www.sciencedirect.com/science/article/pii/S2468428725001418 |
| work_keys_str_mv | AT martinhossackmbchbfrcs renocavalbypassusingcryopreservedcadaverichomograftinthesurgicalmanagementofnutcrackersyndrome AT colinchanmbbsfrcs renocavalbypassusingcryopreservedcadaverichomograftinthesurgicalmanagementofnutcrackersyndrome |