HEMODYNAMICS OF THE BASIN OF THE LEFT RENAL VEIN AND THE EFFECT OF ARTERIAL STRUCTURES ON IT (SUPERIOR MESENTERIC ARTERY AND AORTA)

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Section:
ORIGINAL ARTICLES
Published:
2024-06-02
DOI:
https://doi.org/10.24412/2687-0053-2024-2-63-67

Main Article Content

Александр Михайлович Путинцев
Kemerovo State Medical University
http://orcid.org/0009-0008-0602-0260
Оксана Анатольевна Струкова
Kuzbass Clinical Hospital named after S.V. Belyaev, Kemerovo
Роман Сергеевич Францев
Stavropol State Medical University image/svg+xml , Stavropol State Medical University image/svg+xml
Наталья Николаевна Константинова
Kuzbass Clinical Hospital named after S.V. Belyaev, Kemerovo
Мария Альбертовна Петрова
Kemerovo State Medical University

Abstract

The syntopy of the aorta and superior mesenteric artery (VBA) in relation to the left renal vein (LVV), as well as the total effect of pulsating pressure of the aorta and superior mesenteric artery on the hemodynamics of the left renal vein were studied by applying hydrodynamic and mathematical research methods. It has been shown that the outflow from the left renal vein basin is affected not only by venous vessel compression, but also by pulse pressure. Simultaneous pulsation of the aorta and artery creates a pulsating pressure support in the vein, inhibiting blood flow in it and causing fluctuations in the speed of blood movement downward to the contact zones of the aorta and artery and upward beyond the contact zones. With a high probability, the described phenomenon will eventually lead to pathologies of individual sections of the vein and the vessels coming out of it, as well as organs from which the outflow will be disrupted.

Author Biographies

Александр Михайлович Путинцев,
doctor of medical sciences, professor of the department of faculty surgery and urology
Оксана Анатольевна Струкова,
cardiovascular surgeon of the department of cardiovascular surgery
Роман Сергеевич Францев,
candidate of medical sciences, docent of the department of urology
Наталья Николаевна Константинова,
candidate of medical sciences, surgeon, surgical department N 2
Мария Альбертовна Петрова,
4th year student of the faculty of medicine

Article Details

Information about financing and conflict of interests

The study had no sponsorship.
The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.
© Александр Михайлович Путинцев, Оксана Анатольевна Струкова, Роман Сергеевич Францев, Наталья Николаевна Константинова, Мария Альбертовна Петрова, 2024


Creative Commons License  This work is licensed under a Creative Commons Attribution 4.0 License.

How to Cite

Путинцев, А. М., Струкова, О. А., Францев, Р. С., Константинова, Н. Н., & Петрова, М. А. (2024). HEMODYNAMICS OF THE BASIN OF THE LEFT RENAL VEIN AND THE EFFECT OF ARTERIAL STRUCTURES ON IT (SUPERIOR MESENTERIC ARTERY AND AORTA). Medicine in Kuzbass, 23(2), 63-67. https://doi.org/10.24412/2687-0053-2024-2-63-67

References

Litvitskiy PF. Regional blood flow and microcirculation disorders. Regional blood circulation and microcirculation. 2020; 19(1): 82-92. Russian (Литвицкий П.Ф. Нарушения регионарного кровотока и микроциркуляции //Регионарное кровообращение и микроциркуляция. 2020. Т. 19, № 1. С. 82-92.) DOI: 10.24884/1682-6655-2020-19-1-82-92

Vasiliev AE, Zhukov OB, Sinitsyn VE, Sulima AN. Left renal vein stenting: indications, disputable points, immediate and long-term results. Andrology and genital surgery. 2021; 22(1): 28-37. Russian (Васильев А.Э., Жуков О.Б., Синицын В.Е., Сулима А.Н. Стентирование левой почечной вены: показания, ближайшие и отдаленные результаты //Андрология и генитальная хирургия. 2021. Т. 22, № 1. С. 28-37.) DOI: 10.17650/1726 9784 2021 22 1 28 37

Tonyan A.G., Khan V.V. The role of aorto-mesenteric "tweezers" in the development of disorders of the main venous blood flow of the left kidney. Hospital medicine: science and practice. 2021; 4(1): 17-25. Russian (Тонян А.Г., Хан В.В. Роль аорто-мезентериального «пинцета» в развитии нарушений магистрального венозного кровотока левой почки //Госпитальная медицина: наука и практика. 2021. Т. 4, № 1. С. 17-25.) DOI: 10.34852/GM3CVKG.2021.34.55.003

Strakhov SN, Pryadko SI, Bondar ZM, Kosyreva NB. Hemodynamic architectonic variants of left renal and testicular veins and selection of the pathogenetically substantiated method of the surgical treatment of left side varicocele. Annals of Surgery. 2014; 3: 32-40. Russian (Страхов С.Н., Прядко С.И., Бондар З.М., Косырева Н.Б. Варианты архитектоники, гемодинамики левой почечной и яичковой вен и выбор патогенетически обоснованного метода хирургического лечения левостороннего варикоцеле //Анналы хирургии. 2014. № 3. С. 32-40)

Tonyan AG, Tatevosyan AS, Bunyakin AV. Mathematical modeling of aorto-mesenteric “tweezers”, affectingthe relationship between dehydroepiandrostenedioneand testosterone in persons with varicocele. Ecological Bulletin of Research Centers of the Black Sea Economic Cooperation. 2020; 17(1): 81-91. Russian (Тонян А.Г., Татевосян А.С., Бунякин А.В. Математическое моделирование работы аортомезентериального «пинцета», влияющего на взаимоотношения дегидроэпиандростендиона и тестостерона у лиц с варикоцеле //Экологический вестник научных центров Черноморского экономического сотрудничества. 2020. Т. 17, № 1. С. 81-91.) DOI: 10.31429/vestnik-17-1-2-81-91

Grigorieva EV, Senichkina MN, Mayorova AA, Kiseleva OA. Difficulties in diagnosing the syndrome of «aorto-mesenteric tweezers» in a patient with macrohematuria. Therapeutic Archive. 2019; 91 (6): 100-102. Russian (Григорьева Е.В., Сеничкина М.Н., Майорова А.А., Киселева О.А. Трудности диагностики синдрома «аорто-мезентериального пинцета» у пациентки с макрогематурией //Терапевтический архив. 2019. Т. 91, № 6. С. 100-102.) DOI: 10.26442/00403660.2019.06.000161

Penfold D, Lotfollahzadeh S. Nutcracker Syndrome. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing, 2021

Yadav P, Lal H, Verma P, Mourya C. Vascular compression of left renal vein: the nutcracker phenomenon. BMJ Case Rep. 2016; 2016. DOI: 0.1136/bcr-2016-218134

Ananthan K, Onida S, Davies AH. Nutcracker Syndrome: An update on current diagnostic criteria and management guidelines. Eur J Vasc Endovasc Surg. 2017; 53: 886e894. DOI: 10.1016/j.ejvs.2017.02.015

Macedo GL, Santos MA, Sarris AB, Gomes RZ. Diagnóstico e tratamento da síndrome de quebra-nozes (nutcracker): revisão dos últimos 10 anos. J Vasc Bras. 2018; 17(3): 220-228. DOI: 10.1590/1677-5449.012417

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