Right gonadal vein transposition for the treatment of anterior nutcracker syndrome in a patient with left-sided inferior vena cava

Anterior nutcracker syndrome in the setting of a duplicated inferior vena cava

“…5 This anomaly not only can place individuals at increased risk for vascular complications but also can have an impact on surgical and technical decision-making. Whereas nutcracker physiology has been reported in individuals with both normal vascular anatomy and aberrancies including celiacomesenteric trunks 6,7 and left-sided IVCs, [8][9][10][11][12][13] there has been only one report of NCS in a patient with a duplicated IVC, with no discussion of the technical nuances of open surgical treatment. 14 We report a unique case of NCS in a patient with a duplicated IVC who was found to have significant LRV compression on MRA and IVUS.…”