Surgical treatment of posterior nutcracker syndrome

Enrico M. Marone, Daniele Psacharopulo, Andrea Kahlberg, Giovanni Coppi, Roberto Chiesa

Research output: Contribution to journalArticlepeer-review


Posterior nutcracker syndrome (PNS) is a rare condition due to left renal vein (LRV) hypertension, caused by compression of the LRV between the vertebral column and the abdominal aorta. Diagnosis of PNS is challenging, as symptoms are variable and not specific. Therapeutic options are debated, and either conservative, open, or endovascular approaches have been advocated as both safe and effective. We report our experience with a case of PNS in a 17-year-old woman, who presented with a 2 year history of recurrent hematuria associated to severe left flank and back pain, successfully treated with anterior transposition of the LRV.

Original languageEnglish
Pages (from-to)844-847
Number of pages4
JournalJournal of Vascular Surgery
Issue number3
Publication statusPublished - Sep 2011

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery


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