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Bakoulev National Medical Research Center for Cardiovascular Surgery, Rublevskoe shosse, 135, Moscow, 121552, Russian Federation
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Heading: Case reports
UDC: 616.146.2-007.271-053.5-089
Link: Clinical Physiology of Blood Circulaiton. 2018; 2 (2): 98-101
Quote as: Arakelyan V.S., Demidova O.A., Bortnikova N.V. Surgical treatment of the aortomesenteric left renal vein compression syndrome in an 8-year-old child. Cardiovascular Surgery News. 2018; 2 (2): 98–101 (in Russ.). DOI: 10.24183/2588-0284-2018- 2-2-98-101
Received / Accepted: April 16, 2018 / April 27, 2018
The successful case of the surgical treatment of an 8-year-old patient with the aortomesenteric left renal vein compression syndrome is presented. The clinical manifestations of the syndrome were feeling of heaviness in the left lumbar area at long-lasting vertical position, hematuria and arterial hypertension. In the examination complex, high-informative methods for visualization of this defect were used: ultrasonic duplex scanning and computed tomography angiography. From different types of sugery used at this pathology, the most perspective, according to the literature, method of left renal vein transposition in the distal direction was chosen. As the result of the operation, the left renal vein compression was completely eliminated, the venous outflow from the left kidney restored, the kidney size normalized, hematuria disappeared. Due to elimination of the left kidney discomfort the arterial blood pressure normalized. The retroperitoneal approach we used provided not only the sufficient review of all elements participating in the reconstruction, but also the improvement of the left kidney mobility (bandaging of the veins draining it wasn't required).
Conflict of interest. The authors declare no conflict of interest.
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Valeriy S. Arakelyan, Dr. Med. Sc., Professor, Head of Department, orcid.org/0000-0002-0284-6793
Olga A. Demidova, Cand. Med. Sc., Senior Researcher, orcid.org/0000-0002-8184-9393
Natal'ya V. Bortnikova, Junior Researcher, orcid.org/0000-0003-1254-2889