Robot-assisted extravascular stent for nutcracker syndrome: A case report

João Pádua Manzano; João Henrique Sendrete de Pinho; Thainã de Oliveira Azambuja; Claudio Ambrogini; Paulo Collet Bruna

doi:10.1016/j.eucr.2022.102311

Robot-assisted extravascular stent for nutcracker syndrome: A case report

Urol Case Rep. 2022 Dec 25:46:102311. doi: 10.1016/j.eucr.2022.102311. eCollection 2023 Jan.

Authors

João Pádua Manzano^{1

2}, João Henrique Sendrete de Pinho³, Thainã de Oliveira Azambuja², Claudio Ambrogini², Paulo Collet Bruna²

Affiliations

¹ Federal University of São Paulo, São Paulo, Brazil.
² Brazilian Institute of Robotic Surgery, Moriah Hospital, São Paulo, Brazil.
³ Federal University of Juiz de Fora, Minas Gerais, Brazil.

Abstract

Nutcracker syndrome (NCS) is a rare condition caused by compression of the left renal vein (LRV) between the aorta and superior mesenteric artery. Surgical treatment is reserved for patients with severe symptoms and failure of conservative treatment. A 31-year-old woman diagnosed in adolescence with NCS has had recurrent pain since age 15. For 30 days, she has had severe left flank pain and microhematuria. The patient underwent extravascular stent placement around the LRV with the Da Vinci Xi. In 30 months of follow-up, the patient has no pain and the LRV remained without compressions or thrombosis.

Keywords: CT, Computed Tomography Scan; Extravascular stent; LRV, Left Renal Vein; NCS, Nutcracker Syndrome; Nutcracker syndrome; PTFE, Polytetrafluoroethylene; Robot-assisted surgery.

Publication types

Case Reports