Extrinsic Compression of the Renal Artery by Diaphragmatic Crus

Clément, Claude; Ruiz, Roberto; Costa-Foru, Bogdan; Nicaise, H

doi:10.1007/bf02009463

Cited by 14 publications

(4 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The diaphragmatic fibers cause a verticalization of the root of the renal artery and lead to a stenosis. 15,16 Since the first report by d'Abreu and Strickland, 9 only a few cases of renal artery entrapments have been reported in the literature. 3,4,10-12,16-19 Indeed these fibrous bands originating from the diaphragm are more commonly known for the celiac artery compression syndrome, also known as median arcuate ligament syndrome.…”

Section: Discussionmentioning

confidence: 98%

Compression of the left renal artery and celiac trunk by diaphragmatic crura

Gaebel

Hinterseher

Saeger

et al. 2009

Journal of Vascular Surgery

View full text Add to dashboard Cite

Symptomatic compression of the celiac trunk by crura of the diaphragm is a rare disorder. Even more infrequent external compression of renal arteries is found. Although the indication for surgical therapy is controversially discussed in the literature for celiac artery compression syndrome, it is unequivocally for renal artery entrapment. We present the case of a young woman who was assigned to our hospital with arterial hypertension and stenosis of the left renal artery. After percutaneous transluminal angioplasty was performed, immediate recoil occurred. Therefore, the suspicion of entrapment by diaphragmatic crura was expressed. Additionally performed diagnostic procedures including computed tomography (CT)-angiography verified our suspicion. Surgical decompression of both vessels was successfully performed.

show abstract

Section: Discussionmentioning

confidence: 98%

Compression of the left renal artery and celiac trunk by diaphragmatic crura

Gaebel

Hinterseher

Saeger

et al. 2009

Journal of Vascular Surgery

View full text Add to dashboard Cite

show abstract

“…10 Most reports, including the two presented herein, describe normal appearance and caliber of renal arteries after decompression and therefore no reconstruction. 4,9…”

Section: Discussionmentioning

confidence: 99%

Renovascular hypertension secondary to renal artery compression by diaphragmatic crura

Mirza

Kendrick

Bower

et al. 2020

Journal of Vascular Surgery Cases, Innovations and Techniques

View full text Add to dashboard Cite

Median arcuate ligament syndrome is the result of celiac axis compression by the diaphragmatic crura. Although the celiac artery is the most common vessel to have compression, the renal arteries may also rarely be compressed by the crural fibers of the diaphragm, which may cause secondary hypertension. We present two cases of renovascular hypertension secondary to renal artery compression by the diaphragmatic crura. The first patient was treated with open decompression and wide resection of the crural fibers, and the second patient was decompressed laparoscopically. Neither case required renal artery reconstruction. Antihypertensives were discontinued in both patients postoperatively.

show abstract

“…The mechanism evoked is an anomaly of migration of the kidneys [3,18], which seems to be more common on the left side. The diaphragmatic fibres cause verticalisation of the root of the RA and lead to stenosis [4,8,19]. During kidney migration to the retroperitoneal abdomen from the pelvis, metanephros vasculature is dynamic.…”

Section: Discussionmentioning

confidence: 99%