Illustration of the hybrid repair (reproduced with permission from the Mayo Foundation). A, Left renal vein (LRV) compression by the superior mesenteric artery (SMA; nutcracker anatomy). B, The LVR has been transposed and patched with great saphenous vein. C, Stenting of the transposed and patched LRV using a Wallstent (Boston Scientific, Marlborough, Mass). Reproduced by permission of the Mayo Foundation for Medical Education and Research. All rights reserved. The Mayo Clinic does not endorse specific products, advertisers, or services included in this article.