Utility of magnetic resonance imaging in establishing a venous pressure gradient in a patient with possible nutcracker syndrome

Nutcracker syndrome is characterized by abnormal acute angulation of the superior mesenteric artery origin from the aorta, with resulting compression and hypertension of the crossing left renal vein. The radiologic studies used in diagnosis are typically limited to standard cross-sectional anatomic...

Full description

Bibliographic Details
Main Authors: Ari Goldberg, MD, PhD, Pegge M. Halandras, MD, Steven Shea, PhD, Jae S. Cho, MD
Format: Article
Language:English
Published: Elsevier 2016-09-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2352667X16300066
_version_ 1811258802503155712
author Ari Goldberg, MD, PhD
Pegge M. Halandras, MD
Steven Shea, PhD
Jae S. Cho, MD
author_facet Ari Goldberg, MD, PhD
Pegge M. Halandras, MD
Steven Shea, PhD
Jae S. Cho, MD
author_sort Ari Goldberg, MD, PhD
collection DOAJ
description Nutcracker syndrome is characterized by abnormal acute angulation of the superior mesenteric artery origin from the aorta, with resulting compression and hypertension of the crossing left renal vein. The radiologic studies used in diagnosis are typically limited to standard cross-sectional anatomic imaging with computed tomography or magnetic resonance imaging, with occasional use of Doppler ultrasound imaging for hemodynamic quantification. The standard for acquiring anatomic and physiologic information continues to be invasive venography. We describe the successful novel application of phase-encoded magnetic resonance imaging as a noninvasive method for acquiring anatomic and hemodynamic data in a case of possible nutcracker syndrome in a young patient.
first_indexed 2024-04-12T18:20:07Z
format Article
id doaj.art-bd7b1a8156fb490da1131b1ebcc1b89b
institution Directory Open Access Journal
issn 2468-4287
language English
last_indexed 2024-04-12T18:20:07Z
publishDate 2016-09-01
publisher Elsevier
record_format Article
series Journal of Vascular Surgery Cases and Innovative Techniques
spelling doaj.art-bd7b1a8156fb490da1131b1ebcc1b89b2022-12-22T03:21:28ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872016-09-0123808310.1016/j.jvsc.2016.03.006Utility of magnetic resonance imaging in establishing a venous pressure gradient in a patient with possible nutcracker syndromeAri Goldberg, MD, PhD0Pegge M. Halandras, MD1Steven Shea, PhD2Jae S. Cho, MD3Department of Radiology, Loyola University Chicago, Stritch School of Medicine, Maywood, IllDepartment of Surgery, Loyola University Chicago, Stritch School of Medicine, Maywood, IllDepartment of Radiology, Loyola University Chicago, Stritch School of Medicine, Maywood, IllDepartment of Surgery, Loyola University Chicago, Stritch School of Medicine, Maywood, IllNutcracker syndrome is characterized by abnormal acute angulation of the superior mesenteric artery origin from the aorta, with resulting compression and hypertension of the crossing left renal vein. The radiologic studies used in diagnosis are typically limited to standard cross-sectional anatomic imaging with computed tomography or magnetic resonance imaging, with occasional use of Doppler ultrasound imaging for hemodynamic quantification. The standard for acquiring anatomic and physiologic information continues to be invasive venography. We describe the successful novel application of phase-encoded magnetic resonance imaging as a noninvasive method for acquiring anatomic and hemodynamic data in a case of possible nutcracker syndrome in a young patient.http://www.sciencedirect.com/science/article/pii/S2352667X16300066
spellingShingle Ari Goldberg, MD, PhD
Pegge M. Halandras, MD
Steven Shea, PhD
Jae S. Cho, MD
Utility of magnetic resonance imaging in establishing a venous pressure gradient in a patient with possible nutcracker syndrome
Journal of Vascular Surgery Cases and Innovative Techniques
title Utility of magnetic resonance imaging in establishing a venous pressure gradient in a patient with possible nutcracker syndrome
title_full Utility of magnetic resonance imaging in establishing a venous pressure gradient in a patient with possible nutcracker syndrome
title_fullStr Utility of magnetic resonance imaging in establishing a venous pressure gradient in a patient with possible nutcracker syndrome
title_full_unstemmed Utility of magnetic resonance imaging in establishing a venous pressure gradient in a patient with possible nutcracker syndrome
title_short Utility of magnetic resonance imaging in establishing a venous pressure gradient in a patient with possible nutcracker syndrome
title_sort utility of magnetic resonance imaging in establishing a venous pressure gradient in a patient with possible nutcracker syndrome
url http://www.sciencedirect.com/science/article/pii/S2352667X16300066
work_keys_str_mv AT arigoldbergmdphd utilityofmagneticresonanceimaginginestablishingavenouspressuregradientinapatientwithpossiblenutcrackersyndrome
AT peggemhalandrasmd utilityofmagneticresonanceimaginginestablishingavenouspressuregradientinapatientwithpossiblenutcrackersyndrome
AT stevensheaphd utilityofmagneticresonanceimaginginestablishingavenouspressuregradientinapatientwithpossiblenutcrackersyndrome
AT jaeschomd utilityofmagneticresonanceimaginginestablishingavenouspressuregradientinapatientwithpossiblenutcrackersyndrome