Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/jvb.2013.034
Jornal Vascular Brasileiro
Case report

Tratamento endovascular da Sindrome de Quebra-nozes (Nutcracker)

Endovascular treatment of Nutcracker syndrome

Jorge Ribeiro da Cunha Junior; Tiago Coutas de Souza; Adilson Toro Feitosa; Jose Ricardo Brizzi; Juliana Amaral Tinoco

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Resumo

A Síndrome do Quebra-nozes se refere a um conjunto de sinais secundários à compressão da veia renal esquerda, mais comumente entre a artéria mesentérica superior e a aorta, levando ao comprometimento do fluxo para a veia cava. O diagnóstico desta síndrome frequentemente é difícil e, por esta razão, o diagnóstico é demorado, em muitos casos. É relatado, nesta publicação, o caso de uma mulher de 51 anos, tratada com sucesso pela embolização da veia ovariana associada ao implante de stent autoexpansível na veia renal esquerda. São discutidos os aspectos técnicos e as dificuldades do procedimento

Palavras-chave

Sindrome do Quebra-nozes, fenomeno do Quebra-nozes, encarceramento da veia renal, Sindrome da Congestao Pelvica

Abstract

Nutcracker syndrome refers to signs and symptoms secondary to compression of the left renal vein, most commonly between the superior mesenteric artery and the aorta, leading to impaired outflow to the vena cava. Diagnosis of this syndrome is often difficult and as result is late in most cases. We report on the case of a 51-year-old woman successfully treated with embolization of the ovarian vein and insertion of a self expandable stent in the left renal vein. Technical details and pitfalls are discussed.

Keywords

Nutcracker Syndrome, Nutcracker phenomenon, renal vein entrapment, Pelvic Congestion Syndrome

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