Nutcracker syndrome

Erol Kurç,

doi:10.5606/tgkdc.dergisi.2013.6230

Nutcracker syndrome

Erol Kurç¹, Hakan Barutca², Mehmet Kanyılmaz², Murat Sargın¹, Sinan Şahin²

¹Dr. Siyami Ersek Göğüs Kalp ve Damar Cerrahisi Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Kliniği, İstanbul, Türkiye
³Dr. Siyami Ersek Göğüs Kalp ve Damar Cerrahisi Eğitim ve Araştırma Hastanesi, Radyoloji Kliniği, İstanbul, Türkiye

DOI : 10.5606/tgkdc.dergisi.2013.6230

Nutcracker syndrome is a rare anatomicopathological condition. Patients with suspected of Nutcracker syndrome can be easily diagnosed based on radiological findings. In this article, we discuss a rare condition of Nutcracker syndrome in four patients with left renal vein compression in the light of radiological findings. Color Doppler ultrasonography and axial and curved planar reformatted images of multidetector computed tomography were evaluated. Digital subtraction angiography was performed in one case. Four cases were diagnosed with Nutcracker syndrome due to the left renal vein compression. Left renal vein was found to be compressed between aorta and superior mesenteric artery in three and compressed between aorta and vertebral body in one case. The initial and most critical step in the diagnosis of Nutcracker syndrome is clinical suspicion.

Keywords : Nutcracker syndrome; renal vein entrapment; renal vein impingement

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