Median Arcuate Ligament Syndrome With Severe Two-Vessel Involvement

Lawson, J. D.; Ochsner, John L.

doi:10.1001/archsurg.1984.01390140082015

Cited by 35 publications

(17 citation statements)

References 4 publications

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“…Although patients have obtained relief after release of this external compression, it has been difficult to explain symptoms due to compromise of this single vessel. There have been isolated cases reported in which the median arcuate ligament compressed both the celiac and superior mesenteric arteries [2].…”

Section: Discussionmentioning

confidence: 99%

“…Spiral CT appears to be well suited to diagnosing the median arcuate ligament syndrome for a number of reasons: (1) The diaphragm can be visualized, which is impossible with angiography. (2) The relation between the diaphragm and the celiac, superior mesenteric, and renal arteries can be displayed, which is also impossible by angiography. (3) The arteries can be reconstructed in three dimensions, permitting visualization of stenoses and visualization of relations between arteries.…”

Section: Discussionmentioning

confidence: 99%

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Median arcuate ligament syndrome with multivessel involvement: diagnosis with spiral CT angiography

et al. 1997

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Intestinal angina may be caused by compression of the celiac artery by the median arcuate ligament of the diaphragm. Aortography can suggest the diagnosis, but the diaphragm cannot be visualized by this examination. We report a symptomatic woman in whom spiral computed tomography-guided angiography demonstrated stenosis of the celiac artery, superior mesenteric artery, and both renal arteries due to diaphragmatic compression. Surgery was beneficial.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Median arcuate ligament syndrome with multivessel involvement: diagnosis with spiral CT angiography

et al. 1997

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“…The prevalence of the SMAS among women observed in our series and reported in literature is probably due to a lower insertion of diaphragm in women. For the same reason, the superior mesenteric artery, which origins 5 cm lower than the celiac trunk, could be compressed [19,20]. The anatomic theory is supported by a recent report of Bech et al [21], where the same symptoms and the same morphologic pattern have been described in monozygotic twins.…”

Section: Discussionmentioning

confidence: 85%

Dunbar’s Syndrome and Superior Mesenteric Artery’s Syndrome: A Rare Association

et al. 2006

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Celiac artery compression syndrome (CACS) and superior mesenteric artery syndrome (SMAS) are 2 rare diseases, widely described in literature. Their association has not been specifically investigated; in fact, few cases have been reported. For this reason we reviewed our experience from January 1974 to June 2004. We report 59 patients affected by CACS and 28 by SMAS. Coexistence of both syndromes in 8 patients was observed. These 8 patients were successfully treated with duodenojejunal bypass and decompression of the celiac trunk. In this paper, we analyze the pathogenesis, clinical presentation, diagnosis, and treatment of these syndromes, emphasizing their common aspects. The misdiagnosis of this association may justify in some cases the controversial results reported regarding the surgical treatment of these syndrome.

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“…The literature concerning adults also reports about a typical bruit, increasing after a heavy meal, in the paraumbilical region [9,10,29]. Thus, symptoms in children are similar to those in adults [1,3,9,11,12,14,20,21,29].…”

Section: Clinical Symptomsmentioning

confidence: 97%

“…This syndrome is also rarely seen and only briefly described in textbooks and journals of general and vascular surgery [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17]28,29], as well as in journals of radiology [18][19][20][21][22][23] and orthopedics [24]. However, these descriptions fail to outline the exact anatomy of the anomaly as it is encountered in infants and children.…”

mentioning

confidence: 99%