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Nutcracker Syndrome due to Chronic Aortic Dissection
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  • Takashi Azuma,
  • Satoshi Saito,
  • Hiroshi Niinami
Tokyo Women's Medical University

Corresponding Author:[email protected]

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Takashi Azuma
Tokyo Women's Medical University
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Satoshi Saito
Tokyo Women's Medical University
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Hiroshi Niinami
Tokyo Women's Medical University
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Nutcracker syndrome (NCS) is known as a status of compression of the left renal vein (LRV) between the abdominal aorta and superior mesenteric artery (SMA). We here report a case of NCS in Marfan patients with type B aortic dissection who presented with sudden gross hematuria. Computed tomography revealed the compression of the LRV sandwiched between the SMA and the dilated dissecting abdominal aorta. The compression was released after surgical intervention and the hematuria was promptly recovered. This report highlights that NCS should be considered as a differential diagnosis of unexplained hematuria in patients with the chronic dissecting aorta.
23 Nov 2020Submitted to Journal of Cardiac Surgery
24 Nov 2020Submission Checks Completed
24 Nov 2020Assigned to Editor
24 Nov 2020Reviewer(s) Assigned
08 Dec 2020Review(s) Completed, Editorial Evaluation Pending
09 Dec 2020Editorial Decision: Revise Minor
12 Jan 20211st Revision Received
12 Jan 2021Submission Checks Completed
12 Jan 2021Assigned to Editor
13 Jan 2021Review(s) Completed, Editorial Evaluation Pending
13 Jan 2021Editorial Decision: Accept