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left renal vein
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Here the left renal vein is seen crossing anterior to the aorta immediately inferior to the origin of the SMA.

varices may be treated using sclerotherapy (shrinking of vessels) or by creating a shunt between the portal venous network and the systemic veins the most common being a splenorenal shunt between the splenic vein at its entry into the portal vein and the left renal vein. A shunt between the portal vein and IVC would not be made because this would shunt too much blood away from the liver, thereby causing metabolic problems.

The right renal vein is shorter than the left renal vein (which crosses the abdominal aorta). For this reason, cancer of the right kidney (such as renal cell carcinoma) can gain access to the IVC (and thus the heart) more quickly than cancer of the left kidney.
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