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  • Title: Treatment of six cases of left renal nutcracker phenomenon: surgery and endografting.
    Author: Zhang H, Zhang N, Li M, Jin W, Pan S, Wang Z, Feng H.
    Journal: Chin Med J (Engl); 2003 Nov; 116(11):1782-4. PubMed ID: 14642161.
    Abstract:
    OBJECTIVE: A retrospective study was undertaken to examine therapeutic strategies used in 6 patients with left renal venal nutcracker phenomenon. METHODS: Three patients underwent surgical transposition of the superior mesenteric artery. Three patients underwent endograft stent implantations with intervention. RESULTS: All 6 cases were completely relieved of left renal vein compression after the operations, leading to improved clinical symptoms and normal urine tests. CONCLUSIONS: Transposition of the superior mesenteric artery is a feasible method, but leads to complications and great trauma. Treating left renal venal nutcracker phenomenon with endografting techniques is minimally invasive in certain cases, and seems to have a prospective future.
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