Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/1677-5449.190037
Jornal Vascular Brasileiro
Case Report

Revascularização venosa via transposição de veia gonadal esquerda em síndrome de nutcracker posterior: relato de caso

Venous revascularization to treat posterior nutcracker syndrome by transposition of the left gonadal vein: case report

Guilherme Lourenço de Macedo; Matheus Alves dos Santos; Andrey Biff Sarris; Ricardo Zanetti Gomes

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Resumo

Resumo: A síndrome de nutcracker é manifesta na presença de um aprisionamento sintomático da veia renal esquerda entre a aorta abdominal e a artéria mesentérica superior. Uma variação mais efêmera desta desordem é dita síndrome de nutcracker posterior, quando a compressão da veia renal não mais ocorre frontalmente à aorta, mas posteriormente a ela, entre esta e a coluna vertebral. A despeito de variáveis opções terapêuticas, as técnicas presentes visam aliviar os sintomas e diminuir a pressão venosa da veia renal esquerda. Este relato descreve um caso de Síndrome de nutcracker posterior, em que a abordagem de escolha foi a cirurgia aberta, transpondo distalmente a veia gonadal esquerda na veia cava inferior.

Palavras-chave

Palavra-chave: síndrome do quebra-nozes, hematúria, dor abdominal

Abstract

Abstract: The Nutcracker Syndrome is manifest in the presence of a symptomatic entrapment of the left renal vein between the abdominal aorta and the superior mesenteric artery. In a more ephemeral variation of this disorder, called the Posterior Nutcracker Syndrome, the renal vein is not compressed anterior to the aorta, but posteriorly, between the artery and the spine. Although there are multiple treatment options, current techniques aim to relieve the symptoms and reduce venous pressure on the left renal vein. This report describes a case of Posterior Nutcracker Syndrome in which the management approach chosen was open surgery, transposing the gonadal vein distally, to the inferior cava vein.
 

Keywords

nutcracker syndrome, hematuria, abdominal pain

References

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