# Left renal vein transposition as a treatment of refractory hypertension in nutcracker syndrome

## TL;DR

This paper presents a successful treatment of severe, hard-to-control high blood pressure in a rare condition called nutcracker syndrome using a surgical procedure called left renal vein transposition.

## Contribution

The paper introduces a successful surgical treatment for refractory hypertension in nutcracker syndrome.

## Key findings

- Refractory hypertension in nutcracker syndrome can be effectively treated with left renal vein transposition.
- The case report demonstrates the successful application of this surgical technique in a rare clinical scenario.

## Abstract

Nutcracker syndrome is a rare condition that describes compression of the left renal vein in between the proximal superior mesenteric artery and the abdominal aorta. Nutcracker syndrome is diagnosed by combining the typical anamnesis with ultrasound findings, demonstrating left renal vein compression. Hypertension, although rare, can be a serious feature of nutcracker syndrome. There has been a long-standing controversy surrounding possible treatment options for nutcracker syndrome. This case report describes a rare case of refractory hypertension that was treated successfully by left renal vein transposition.