THE INFLUENCE OF SYNTOPY OF THE AORTA AND LEFT RENAL VEIN ON THE HYDRODYNAMICS OF THE LEFT RENAL VEIN BASIN
https://doi.org/10.57256/2949-0715-2024-4-20-29
Abstract
Relevance. The article analyzes the syntopy of the aorta and the left renal vein, as well as the hydrodynamic effect of the aorta on the hemodynamics of the left renal vein basin.
Aim. To study the relationship between the syntopy of the aorta and the left renal vein, as well as the hydrodynamic effect of the aorta on the left renal vein.
Materials and methods. One hundred corpses from 16 to 62 years old were selected for the study. All of them had no changes or damage to blood vessels in the studied area. Full name, gender, age, cause of death and date of autopsy were recorded. Calculations were carried out using mathematical and hydrodynamic research methods.
Results. With the retroaortic location of the left renal vein, the pressure in the vessel increases. From the peculiarities of the overlap of the left renal vein on the aorta, it follows that the larger the area of application, the greater the pressure exerted by the pulsation from the aorta on the renal vein. Considering that in the layer of fluid adjacent to the surface of the vein the flow velocity is close to zero, one would expect a pulsating flow in the opposite direction, but due to the presence of pressure in the vein providing blood flow, this does not happen.
Conclusion. It has been studied that the outflow of blood from the left renal vein basin is influenced by both compression of the venous vessel and pulse pressure
About the Authors
Aleksandr M PutintsevRussian Federation
Dr. Sci. (Med.), Professor, Department of General and Faculty Surgery and Urology, Kemerovo State Medical University, Russia, 650056, Kemerovo, Voroshilova St., 22a; Kuzbass Regional Clinical Hospital named after S.V. Belyaev, Russia, 650066, Kemerovo, Oktyabrsky Ave., 22. ORCID: 0009-0008-0602-0260
Oksana A. Strukova
Russian Federation
cardiovascular surgeon of the highest category, Kuzbass Regional Clinical Hospital named after S.V. Belyaeva, Russia, 650066, Kemerovo, Oktyabrsky Ave., 22. ORCID: 0009-0001-7408-7263
Roman S Francev
Russian Federation
Cand. Sci. (Med.), urologist of the highest category, associate professor of the urology department, Stavropol State Medical University, Russia, 355017, Stavropol, Mira St., 310. ORCID: 0009-0009-4852-1167
Petr N Ivatsin
Russian Federation
6th-year student of the medical faculty, Kemerovo State Medical University, Russia, 650056, Kemerovo, Voroshilova St., 22a. ORCID: 0009-0002-1092-754Х
Natalya N. Konstantinova
Russian Federation
surgeon, Kuzbass Regional Clinical Hospital named after S.V. Belyaev, Russia, 650066, Kemerovo, Oktyabrsky Ave., 22; Kemerovo State Medical University” of the Russian Ministry of Health, Russia, 650056, Kemerovo, Voroshilova St., 22a
Michel S. Studenkova
Russian Federation
4th-year student, Faculty of Medicine, Kemerovo State Medical University, Russia, 650056, Kemerovo, Voroshilova St., 22a
References
1. Кривов Ю.И., Торгунаков А.П. Классификация аномалий левой почечной вены и возможности формирования левостороннего РПВА. Медицина в Кузбассе. 2007;3:35-38 [Krivov Yu.I., Torgunakov A.P. Classification of anomalies of the left renal vein and the possibility of formation of left-sided RVA. Medicine in Kuzbass.2007;3:35-38 (In Russian)]. https://med-click.ru/uploads/files/docs/klassifikatsiya-anomaliy-levoy-pochechnoy-veny-i-vozmozhnosti-formirovaniya-levostoronnego-rpva.pdf (access date: 28.05.2024).
2. Ахметзянов Р.В., Бредихин Р.А., Фомина Е.Е., Игнатьев И.М. Эндоваскулярное лечение пациенток с варикозной болезнью таза, обусловленной посттромботическим поражением подвздошных вен. Ангиология и сосудистая хирургия. 2019;25(4):92-101 [Akhmetzyanov R.V., Bredikhin R.A., Fomina E.E., Ignatiev I.M. Endovascular treatment of patients with pelvic varicose veins caused by postthrombotic lesions of the iliac veins. Angiology and vascular surgery. 2019;25(4):92-101 (In Russian)]. DOI: 10.33529/ANGIO2019402
3. Ахметзянов Р.В., Фомина Е.Е. Контрастно-усиленное ультразвуковое исследование в диагностике варикозной болезни таза. Флебология. 2023;17(2):58-65 [Akhmetzyanov R.V., Fomina E.E. Contrast-Enhanced Ultrasound in Diagnosis of Pelvic Varicose Veins. Journal of Venous Disorders. 2023;17(2):58-65 (In Russian)]. DOI: 10.17116/flebo20231702158
4. Гаврилов С.Г., Кириенко А.И., Ревякин В.И. и др. Принципы хирургического лечения варикозной болезни вен таза. Вестник РГМУ. 2009;(5):11–15 [Gavrilov S.G., Kirienko A.I., Revyakin V.I. et al. Principles of surgical treatment of varicose veins of the pelvis. Bulletin of the Russian State Medical University. 2009;(5):11–15] (In Russian)].
5. Васильев А.Э., Жуков О.Б., Синицын В.Е., Сулима А.Н. Стентирование левой почечной вены: показания, ближайшие и отдалённые результаты. Андрология и генитальная хирургия. 2021;22(1):28-37 [Vasiliev A.E., Zhukov O.B., Sinitsyn V.E., Sulima A.N. Stenting of the left renal vein: indications, immediate and long-term results. Andrology and genital surgery. 2021;22(1):28-37 (In Russian)]. DOI:10.17650/1726-9784-2021-22-1-28-37
6. Meissner M.H., Khilnani N.M., Labropoulos N. et al. The Symptoms-Varices-Pathophysiology classification of pelvic venous disorders: A report of the American Vein & Lymphatic Society International Working Group on Pelvic Venous Disorders. Phlebology. 2021;36(5):342-360. DOI:10.1177/0268355521999559
7. Гаврилов С.Г. Компрессионные стенозы левых почечной и подвздошных вен требуют более пристального внимания. Ангиология и сосудистая хирургия. Журнал имени академика А.В. Покровского. 2022;28(2):43-44 [Gavrilov S.G. Compression stenoses of the left renal and iliac veins require closer attention. Angiology and vascular surgery. Journal named after academician A.V. Pokrovsky. 2022;28(2):43-44 (In Russian)]. DOI:10.33029/1027-6661-2022-28-2-43-44
8. Лопаткин Н.А. Руководство по урологии. М.: Медицина; 1998 [Lopatkin N.A. Guide to urology. M.: Medicine; 1998 (In Russian)].
9. Физиология кровообращения: Физиология сосудистой системы. Под ред. Б.И. Ткаченко. Л.:Наука;1984 [Physiology of blood circulation: Physiology of the vascular system. Ed. B.I. Tkachenko. L.:Nauka;1984 (In Russian)].
10. Гаврилов С.Г., Сажин А.В., Красавин Г.В. и др. Сравнительный анализ эффективности и безопасности эндоваскулярных и эндоскопических вмешательств на гонадных венах в лечении синдрома тазового венозного полнокровия. Флебология. 2020;14(3):175‑183 [Gavrilov S.G., Sazhin A.V., Krasavin G.V. et al. Comparative Analysis of Efficacy and Safety of Endovascular and Endoscopic Interventions on the Gonadal Veins in the Treatment of Pelvic Congestion Syndrome. Journal of Venous Disorders. 2020;14(3):175‑183 (In Russian)]. DOI: 10.17116/flebo202014031175
11. Путинцев А.М. Анатомо-хирургическое обоснование и разработка различных вариантов венных анастомозов, направленных на использование метаболических возможностей печени. Кемерово:«Примула»;2018 [Putintsev A.M. «Anatomical and surgical substantiation and development of various options for venous anastomoses aimed at using the metabolic capabilities of the liver». Kemerovo: «Primula»; 2018 (In Russian)].
12. Gavrilov S.G., Vasilyev A.V., Krasavin G.V., Moskalenko Y.P., Mishakina N.Y. Endovascular interventions in the treatment of pelvic congestion syndrome caused by May-Thurner syndrome. J Vasc Surg Venous Lymphat Disord. 2020;8(6):1049-1057. DOI:10.1016/j.jvsv.2020.02.012
13. Lakhanpal G., Kennedy R., Lakhanpal S., Sulakvelidze L., Pappas P.J. Pelvic venous insufficiency secondary to iliac vein stenosis and ovarian vein reflux treated with iliac vein stenting alone. J Vasc Surg Venous Lymphat Disord. 2021;9(5):1193-1198. doi:10.1016/j.jvsv.2021.03.006
14. Гришенкова А.С., Гаврилов С.Г. Современные представления о патогенезе, методах оценки и коррекции тазовой венозной боли. Флебология. 2022;16(2):145‑155 [Grishenkova A.S, Gavrilov S.G. Current Data on Pathogenesis, Diagnosis and Correction of Pelvic Venous Pain. Journal of Venous Disorders. 2022;16(2):145‑155(In Russian)]. DOI:10.17116/flebo202216021145
15. Ахметзянов Р.В., Бредихин Р.А., Фомина Е.Е., Коновалова Е.Ф. Гистологические изменения стенки яичниковой вены при варикозной болезни таза. Флебология. 2020;14(3):166‑174 [Akhmetzyanov R.V., Bredikhin R.A., Fomina E.E., Konovalova E.F. Histological Changes in the Ovarian Vein Wall in Pelvic Varicose Vein Disease. Journal of Venous Disorders. 2020;14(3):166‑174 (In Russian)]. DOI: 10.17116/flebo202
16. Крестин Е.А. К вопросу о пульсирующих течениях в щелевых зазорах переменной высоты. Вестник СГАСУ. Градостроительство и архитектура. 2016;2(23):48-55 [Krestin E.A. On the issue of pulsating flows in slot gaps of variable height. Bulletin of SGASU. Urban Planning and Architecture. 2016;2(23):48-55 (In Russian)]. DOI: 10.17673/Vestnik.2016.02.10
Supplementary files
Review
For citations:
Putintsev A.M., Strukova O.A., Francev R.S., Ivatsin P.N., Konstantinova N.N., Studenkova M.S. THE INFLUENCE OF SYNTOPY OF THE AORTA AND LEFT RENAL VEIN ON THE HYDRODYNAMICS OF THE LEFT RENAL VEIN BASIN. Baikal Medical Journal. 2024;3(4):20-29. (In Russ.) https://doi.org/10.57256/2949-0715-2024-4-20-29











