Work

Renocaval bypass using cryopreserved cadaveric homograft in the surgical management of nutcracker syndrome

Year: 2025

Type: article

Abstract: 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.

Source: Journal of Vascular Surgery Cases and Innovative Techniques

DOI: 10.1016/j.jvscit.2025.101859

Authors: Martin Hossack, Colin Chan

Institutions: Countess of Chester Hospital NHS Foundation Trust, Countess of Chester Hospital, Wirral University Teaching Hospital NHS Foundation Trust

Language: English

Topic: Vascular anomalies and interventions

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,250