A case of successful surgical treatment of renovascular hypertension caused by aorto-mesenteric compression of left renal vein in a patient of 16 years HTML

Authors: V.S. Arakelyan, N.A. Gidaspov, P.P. Kulichkov

Company: Bakoulev National Medical Research Center for Cardiovascular Surgery of Ministry of Health of the Russian Federation, Rublevskoe shosse, 135, Moscow, 121552, Russian Federation

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Heading: Case reports

UDC: 616.146.2-007.272-053.6-089:616.12-008.331.1
DOI: https://doi.org/10.24022/1997-3187-2019-13-1-63-70

For citation: Arakelyan V.S., Gidaspov N.A., Kulichkov P.P. A case of successful surgical treatment of renovascular hypertension caused by aorto-mesenteric compression of left renal vein in a patient of 16 years. Creative Cardiology. 2019; 13 (1): 63–70 (in Russ.). DOI: 10.24022/1997-3187-2019-13-1-63-70

Received / Accepted:  15.02.2019/19.02.2019

Key Words: nutcracker syndrome aorto-mesenteric compression renovascular hypertension left renal vein compression surgical treatment

Abstract

Renovascular hypertension in children occurs in 3–10% of cases of arterial hypertension. Aorto-mesenteric compression of the left renal vein is characterized by compression of the left renal vein between the superior mesenteric artery and the aorta, forming an acute angle. According to the literature, arterial hypertension is an infrequent symptom in aort-mesenteric compression of the left renal vein. In this paper, we describe a case of successful surgical treatment of a rare variant of renovascular hypertension, which developed against the background of aorto-mesenteric compression of the left renal vein in a patient of 16 years without the presence of other symptoms of pathological syndrome, who underwent transposition of the left renal vein into the infrarenal part of the lower vena cava from the left retroperitoneal access.

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About Authors

  • Valeriy S. Arakelyan, Dr Med. Sc., Professor, Head of Department, orcid.org/0000-0002-0284-6793;
  • Nikita A. Gidaspov, Cand. Med. Sc., Researcher, orcid.org/0000-0002-1624-0733;
  • Pavel P. Kulichkov, Postgraduate, orcid.org/0000-0002-6332-581Х

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, Director of Bakoulev National Medical Research Center for Cardiovascular Surgery