Median Arcuate Ligament Syndrome—Review of This Rare Disease

Kim, Erinn N; Lamb, Kathleen M.; Relles, Daniel A.; Moudgill, Neil; DiMuzio, Paul; Eisenberg, Joshua

doi:10.1001/jamasurg.2016.0002

Cited by 198 publications

(236 citation statements)

References 33 publications

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“…MALS is more prevalent in women than men [6, 9]. It regards young patients aged between 30 to 50 [6]. …”

Section: Discussionmentioning

confidence: 99%

“…The symptoms associated with MALS have been attributed to visceral ischemia and neurogenic causes, but there is no valid data for this claim [5, 6]. …”

Section: Introductionmentioning

confidence: 99%

“…The accepted treatment options for MALS include release of MAL, laparoscopic release of MAL, robot-assisted release of MAL, and open vascular surgery [3, 6, 7]. Endovascular treatment does not solve the problem of extrinsic compression of the CA [6].…”

Section: Introductionmentioning

confidence: 99%

“…Endovascular treatment does not solve the problem of extrinsic compression of the CA [6]. The objective of our study was to evaluate the long-term outcome after open vascular therapy of MALS using division of MAL and vascular reconstruction of the CA in combination with division of MAL.…”

Section: Introductionmentioning

confidence: 99%

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Open vascular treatment of median arcuate ligament syndrome

et al. 2017

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BackgroundMedian arcuate ligament syndrome is a rare condition with abdominal symptoms. Accepted treatment options are open release of median arcuate ligament, laparoscopic release of edian arcuate ligament, robot-assisted release of median arcuate ligament and open vascular treatment. Here we aimed to evaluate the central priority of open vascular therapy in the treatment of median arcuate ligament syndrome.MethodsWe conducted a monocentric retrospective study between January 1996 and June 2016. Thirty-one patients with median arcuate ligament syndrome underwent open vascular surgery, including division of median arcuate ligament in 17 cases, and vascular reconstruction of the celiac artery in 14 cases.ResultsIn a 20-year period, 31 patients (n = 26 women, n = 5 men) were treated with division of median arcuate ligament (n = 17) or vascular reconstruction in combination with division of median arcuate ligament (n = 14). The mean age of patients was 44.8 ± 15.13 years. The complication rate was 16.1% (n = 5). Revisions were performed in 4 cases. The 30-day mortality rate was 0%. The mean in-hospital stay was 10.7 days. Follow-up data were obtained for 30 patients. The mean follow-up period was 52.2 months (range 2–149 months). Patients were grouped into a decompression group (n = 17) and revascularisation group (n = 13). The estimated Freedom From Symptoms rates were 93.3, 77.8, and 69.1% for the decompression group and 100, 83.3, and 83.3% for the revascularisation group after 12, 24 and 60 months respectively. We found no significant difference in the Freedom From Re-Intervention CA rates of the decompression (100% at 12, 24 and 60 months post-surgery) and revascularisation (100% at 12 months, and 91.7% at 24 and 60 months post-surgery) groups during follow-up (p = 0.26).ConclusionsOpen vascular treatment of median arcuate ligament syndrome is a safe, low mortality-risk procedure, with low morbidity rate. Treatment choice depends on the clinical and morphological situation of each patient.

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“…MALS is more prevalent in women than men [6, 9]. It regards young patients aged between 30 to 50 [6]. …”

Section: Discussionmentioning

confidence: 99%

“…The symptoms associated with MALS have been attributed to visceral ischemia and neurogenic causes, but there is no valid data for this claim [5, 6]. …”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Open vascular treatment of median arcuate ligament syndrome

et al. 2017

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show abstract

“…(5) Nowadays, this method has become standard surgical approach for the treatment of CACS. (2) In addition, complex reconstruction procedures such as patch angioplasty, aorta-celiac bypass, reanastomosis of celiac artery to aorta have been performed when needed. (2) In patients having persistent symptoms and residual critical celiac artery stenosis after laparoscopic MAL release, percutaneous endo- vascular intervention and stenting of persistent critical celiac artery stenosis may be performed.…”

Section: Discussionmentioning

confidence: 99%