Median Arcuate Ligament Syndrome with Orthostatic Intolerance: Intermediate-Term Outcomes following Surgical Intervention

Moak, Jeffrey P.; Ramwell, Carolyn; Fabian, Robin; Hanumanthaiah, Sridhar; Darbari, Anil; Kane, Timothy D.

doi:10.1016/j.jpeds.2020.12.024

Cited by 9 publications

(3 citation statements)

References 19 publications

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“…36 The children reported a significantly improved score in Physical Functioning from 55 38 The prospective study by Moak et al reported self-assessed QoL on a Likert scale from 1 to 10, the QoL improved from 4.5 (2.4-6.6) to 5.3 (2.9-7.7) (follow-up QoL not described). 39 A prospective study by Stiles-Shields et al reported a significantly improved PedsQL from 64 (47-80) to 74 (56-93) (P0.004) 6 months after surgery. 40…”

Section: Paediatric Cohortmentioning

confidence: 94%

“…The study design and diagnostic criteria of the six included studies describing 195 patients <18 years old are shown in Table 3. [35][36][37][38][39][40] The diagnosis MALS was based on a consensus evaluation by a multidisciplinary team in 2 out of 6 studies 38,40 , one study did not describe the team members 38 , in one study 40 this team did not contain a radiologist as recommended in the international guidelines. 2,3…”

Section: J O U R N a L P R E -P R O O Fmentioning

confidence: 99%

See 1 more Smart Citation

Systematic Review of the Efficacy of Treatment for Median Arcuate Ligament Syndrome

Metz¹,

Blauw²,

Brusse-Keizer³

et al. 2023

Journal of Vascular Surgery

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Section: Paediatric Cohortmentioning

confidence: 94%

Section: J O U R N a L P R E -P R O O Fmentioning

confidence: 99%

Systematic Review of the Efficacy of Treatment for Median Arcuate Ligament Syndrome

Metz¹,

Blauw²,

Brusse-Keizer³

et al. 2023

Journal of Vascular Surgery

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“…Ligament release improves abdominal symptoms in 40–60% of patients [ 3 ]. Intraoperative Doppler sonography is important to evaluate not only severity of the stenosis but also improvement in the rate of perfusion.…”

Section: Introductionmentioning

confidence: 99%

Normalization of Flow in the Common Hepatic Artery after Decompression of Median Arcuate Ligament Syndrome with Diminution of a Pancreatoduodenal Arcade Aneurysm

Matsumoto¹,

Shinozaki²,

Shinozaki³

et al. 2022

Case Rep Gastroenterol

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Median arcuate ligament syndrome (MALS) is caused by constriction of the celiac artery (CA) by the median arcuate ligament of the diaphragm. Ligament release improves perfusion of the CA, resulting in resolution of abdominal symptoms. A 51-year-old female had postprandial abdominal pain for 10 years and underwent computed tomography (CT) scan showing severe stenosis of the CA with pancreatoduodenal arcade aneurysm formation. MALS was diagnosed, and open median arcuate ligament incision was performed to decompress the CA. Intraoperative ultrasonography showed bidirectional turbulent flow in the common hepatic artery (CHA). The median arcuate ligament was uneventfully incised, and compression of the CA released. The perfusion in the CHA was changed to an antegrade direction, and the flow increased. Seven days after the laparotomy, the patient was discharged uneventfully. Follow-up CT scan 20 days after operation showed a diminished pancreatoduodenal arcade aneurysm and inferior pancreatoduodenal artery. Epigastric pain and postprandial distress symptoms were improved. In conclusion, perfusion of the CHA became normalized after median arcuate ligament release. Surgical intervention for MALS not only improved blood flow in the tributaries but also diminished the pancreatoduodenal arcade aneurysm.

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Clinical outcomes after surgical decompression of median arcuate ligament syndrome—An observational study

Matsumoto,

Shinozaki,

Shinozaki

et al. 2024

Indian J Gastroenterol

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Median Arcuate Ligament Syndrome with Orthostatic Intolerance: Intermediate-Term Outcomes following Surgical Intervention

Cited by 9 publications

References 19 publications

Systematic Review of the Efficacy of Treatment for Median Arcuate Ligament Syndrome

Systematic Review of the Efficacy of Treatment for Median Arcuate Ligament Syndrome

Normalization of Flow in the Common Hepatic Artery after Decompression of Median Arcuate Ligament Syndrome with Diminution of a Pancreatoduodenal Arcade Aneurysm

Clinical outcomes after surgical decompression of median arcuate ligament syndrome—An observational study

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