Abstract
We present a case of migration of the left renal vein (LRV) stent into the right ventricle in a patient with nutcracker syndrome. After a failed attempt of percutaneous endovascular removal of the stent, the stent in the heart was removed by open cardiac surgery, another stent was placed into the LRV via a puncture in the inferior vena cava (IVC) under direct vision, and the patient had an uneventful postoperative recovery. At 3 years follow-up, the patient was asymptomatic and Doppler ultrasonography demonstrated the stent to be patent and well-positioned.
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References
Linka AZ, Jenni R (2001) Migration of intrahepatic portosystemic stent into right ventricle: an unusual cause of tricuspid regurgitation. Circulation 103:161–162
Arima M, Hosokawa S, Ogino T et al (1990) Ultrasonographically demonstrated nutcracker phenomenon: alternative to angiography. Int Urol Nephrol 22:3–6
Neste MG, Narasimham DL, Belcher KK (1996) Endovascular stent placement as a treatment for renal venous hypertension. J Vasc Interv Radiol 7:859–861
Basile A, Tsetis D, Calcara G et al (2007) Percutaneous nitinol stent implantation in the treatment of nutcracker syndrome in young adults. J Vasc Interv Radiol 18:1042–1046
Wei SM, Chen ZD, Zhou M (2005) Intravenous stent placement for treatment of the nutcracker syndrome. J Urol 170:1934–1935
Zhang H, Li M, Jin W et al (2007) The left renal entrapment syndrome: diagnosis and treatment. Ann Vasc Surg 21:198–203
Zhang H, Zhang N, Li M et al (2003) Treatment of six cases of left renal nutcracker phenomenon: surgery and endografting. Chin Med J (Engl) 116:1782–1784
Hartung O, Grisoli D, Boufi M et al (2005) Endovascular stenting in the treatment of pelvic vein congestion caused by nutcracker syndrome: lessons learned from the first five cases. J Vasc Surg 42:275–280
Greenfield LJ, Proctor MC (1995) Twenty-year clinical experience with the Greenfield filter. Cardiovasc Surg 3:199–205
Dubois P, Mandieau A, Dolatabadi D et al (2001) Right ventricular migration of a stent after endovascular treatment of a superior vena cava syndrome. Arch Mal Coeur Vaiss 94:1180–1183
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Chen, S., Zhang, H., Tian, L. et al. A stranger in the heart: LRV stent migration. Int Urol Nephrol 41, 427–430 (2009). https://doi.org/10.1007/s11255-008-9478-9
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DOI: https://doi.org/10.1007/s11255-008-9478-9