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Peer-reviewedCC BYJournal of vascular surgery cases and innovative techniques

Autotransplantation for circum-aortic left renal vein compression after failed left renal vein transposition.

  • Julia Rosenberg1
  • Jane Quackenbush1
  • Georges Jreij1
  • Langford Green1
  • Eleanor Dunlap1
  • Justin Robbins1
  • Khanjan Nagarsheth2
  1. 1Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD.
  2. 2Division of Vascular and Endovascular Surgery, Department of Surgery, Saint Louis University School of Medicine, St. Louis, MO.
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Abstract

Circum-aortic nutcracker syndrome is a rare form of left renal vein compression with limited evidence to guide management. We present two sibling patients with complex renal vein anatomy who had persistent symptoms despite initial left renal vein transposition. Both underwent renal autotransplantation after recurrence of flank and abdominal pain, with imaging demonstrating ongoing compression and collateralization. Following autotransplantation, both patients experienced sustained symptom resolution and preserved renal function at follow-up.

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Cite

BibTeXRIS
BibTeX
@article{rosenberg2026autotransplantation,
  title = {{Autotransplantation for circum-aortic left renal vein compression after failed left renal vein transposition.}},
  author = {Julia Rosenberg and Jane Quackenbush and Georges Jreij and Langford Green and Eleanor Dunlap and Justin Robbins and Khanjan Nagarsheth},
  journal = {Journal of vascular surgery cases and innovative techniques},
  year = {2026},
  month = sep,
  doi = {10.1016/j.jvscit.2026.102506},
  url = {https://europepmc.org/article/MED/42910303},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Autotransplantation for circum-aortic left renal vein compression after failed left renal vein transposition.
AU  - Julia Rosenberg
AU  - Jane Quackenbush
AU  - Georges Jreij
AU  - Langford Green
AU  - Eleanor Dunlap
AU  - Justin Robbins
AU  - Khanjan Nagarsheth
PY  - 2026
DA  - 2026/09/07
JO  - Journal of vascular surgery cases and innovative techniques
DO  - 10.1016/j.jvscit.2026.102506
UR  - https://europepmc.org/article/MED/42910303
AB  - Circum-aortic nutcracker syndrome is a rare form of left renal vein compression with limited evidence to guide management. We present two sibling patients with complex renal vein anatomy who had persistent symptoms despite initial left renal vein transposition. Both underwent renal autotransplantation after recurrence of flank and abdominal pain, with imaging demonstrating ongoing compression and collateralization. Following autotransplantation, both patients experienced sustained symptom resolution and preserved renal function at follow-up.
SN  - 2468-4287
ER  -