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DOI: 10.47026/2413-4864-2024-1-82-92
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UDC: 616.16-007.415;616-71;616-005.5;618.134
BBC: 56.9;57.15

Nemirovskaya T.A., Fomina E.E., Bredikhin R.A., Akhmetzyanov R.V., Gaptravanov A.G., Nuriev D.N.

Diagnosis of Combined Structural Variants of the Left Renal Vein (literature review with a clinical example)

Keywords: retroaortic left renal vein, anomalies of the venous system, posterior nutcracker syndrome, CT pelvic phlebography

Tributaries of the inferior vena cava, in particular the renal veins, are characterized by structural variability and variants of collaterals, which causes difficulties in interpreting diagnostic images. The purpose of the review is to demonstrate the importance of detailed visualization of structural variants of the renal and adrenal veins using the example of a literature review. Materials and methods. A literature search was conducted in the PubMed database, as well as illustrative clinical data are provided. The methods of analysis and generalization are used as scientific methods. Results. A review of the literature on a combined venous anomaly – dystopia with a retroaortic location of the left renal vein and an independent left adrenal vein trunk with schematic images of structural variants of the renal and adrenal veins is presented, a clinical example of a patient with a corresponding anomaly is given, as well as a possible explanation for compensation of venous outflow violations through the retroaortic renal vein – drainage mainly into the portal vein system. Conclusions. Awareness on the structural features of the inferior vena cava tributaries makes it possible to explain the symptoms and clinical manifestations in these patients in order to determine further therapeutic tactics.

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About authors

Nemirovskaya Tatiana A.
Candidate of Medical Sciences, Radiologist, Radiology Department, Interregional Clinical Diagnostic Center; Assistant Professor, Department of Oncology, Radiology and Radiation Therapy, Kazan State Medical University, Russia, Kazan (tanya.nemirovsky@gmail.com; ORCID: https://orcid.org/0000-0002-4187-9598)
Fomina Elena E.
Doctor of Medical Sciences, Associate Professor, Department of Ultrasound Diagnostics, Kazan State Medical Academy – Branch Campus of the Russian Medical Academy of Continuous Professional Education, Russia, Kazan (efomina@mail.ru; ORCID: https://orcid.org/0000-0003-0667-6127)
Bredikhin Roman A.
Doctor of Medical Sciences, Head of Department of Vascular Surgery, Interregional Clinical Diagnostic Center; Associate Professor, Department of Cardiovascular and Endovascular Surgery, Kazan State Medical University, Russia, Kazan (rbredikhin@mail.ru; ORCID: https://orcid.org/0000-0001-5550-1548)
Akhmetzyanov Rustem V.
Doctor of Medical Sciences, Cardiovascular Surgeon, Department of Vascular Surgery, Interregional Clinical Diagnostic Center; Associate Professor, Department of Cardiovascular and Endovascular Surgery, Kazan State Medical University, Russia, Kazan (arustemv@mail.ru; ORCID: https://orcid.org/0000-0001-8146-2263)
Gaptravanov Azat G.
Сardiovascular Surgeon, Department of Vascular Surgery, Interregional Clinical Diagnostic Center, Russia, Kazan (azatgaptravanov@mail.ru; ORCID: https://orcid.org/0000-0002-7292-8006)
Nuriev Damir N.
Radiologist, Childrens’s Republican Clinical Hospital, Russia, Yoshkar-Ola (damir.h3@yandex.ru; ORCID: https://orcid.org/0009-0009-7593-3503)

Article link

Nemirovskaya T.A., Fomina E.E., Bredikhin R.A., Akhmetzyanov R.V., Gaptravanov A.G., Nuriev D.N. Diagnosis of Combined Structural Variants of the Left Renal Vein (literature review with a clinical example) [Electronic resource] // Acta medica Eurasica. – 2024. – №1. P. 82-92. – URL: https://acta-medica-eurasica.ru/en/single/2024/1/9/. DOI: 10.47026/2413-4864-2024-1-82-92.

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