Median Arcuate Ligament Syndrome With Celiac Artery Aneurysm and Dissection

Hans Michell; Nariman Nezami; Aaron Dewald; Anant Bhave; Christopher Morris; Dmitriy Akselrod

doi:10.1177/1538574420927866

Median Arcuate Ligament Syndrome With Celiac Artery Aneurysm and Dissection

Vasc Endovascular Surg. 2020 Aug;54(6):525-527. doi: 10.1177/1538574420927866. Epub 2020 May 21.

Authors

Hans Michell¹, Nariman Nezami², Aaron Dewald¹, Anant Bhave¹, Christopher Morris¹, Dmitriy Akselrod¹

Affiliations

¹ Department of Radiology, University of Vermont Medical Center, Burlington, VT, USA.
² Division of Vascular and Interventional Radiology, Department of Radiology and Radiological Sciences, Johns Hopkins Hospital, Baltimore, MD, USA.

PMID: 32436479
DOI: 10.1177/1538574420927866

Abstract

Median arcuate ligament syndrome (MALS) is the chronic symptomatic compression of the celiac artery by the median arcuate ligament. A known potential sequela of MALS is celiac artery aneurysm, which could predispose the diseased artery to dissection. However, the presence of celiac artery dissection and MALS is yet to be reported. Here, we present a case of MALS with a coincident celiac artery aneurysm and dissection.

Keywords: aneurysm; dissection; median arcuate ligament syndrome.

Publication types

Case Reports

MeSH terms

Aortic Dissection / diagnostic imaging
Aortic Dissection / etiology*
Aortic Dissection / therapy
Aspirin / therapeutic use
Cardiovascular Agents / therapeutic use
Celiac Artery* / diagnostic imaging
Conservative Treatment
Female
Humans
Median Arcuate Ligament Syndrome / complications*
Median Arcuate Ligament Syndrome / diagnostic imaging
Median Arcuate Ligament Syndrome / therapy
Middle Aged
Treatment Outcome

Substances

Cardiovascular Agents
Aspirin