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Related Experiment Videos

Celiac artery compression syndrome.

J N Kokotsakis1, C D Lambidis, A G Lioulias

  • 1Department of Cardiovascular Surgery, Texas Heart Institute, Houston, TX, USA.

Cardiovascular Surgery (London, England)
|May 9, 2000
PubMed
Summary
This summary is machine-generated.

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Celiac artery compression syndrome, caused by the median arcuate ligament, can lead to significant stenosis. Surgical decompression and bypass successfully resolved symptoms in a 65-year-old woman.

Area of Science:

  • Vascular Surgery
  • Gastroenterology
  • Anatomy

Background:

  • Celiac artery compression syndrome (CACS) results from extrinsic compression of the celiac trunk by the median arcuate ligament.
  • This condition can cause significant gastrointestinal symptoms, often mimicking other abdominal pathologies.

Observation:

  • A 65-year-old woman presented with postprandial abdominal pain, nausea, and emesis.
  • Physical examination revealed an epigastric bruit, and arteriography demonstrated severe celiac artery stenosis.

Findings:

  • Intraoperative findings confirmed severe anterior compression of the celiac axis by the arcuate ligament.
  • Surgical division of the ligament and a supraceliac aorta to distal celiac artery vein bypass were performed.

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Implications:

  • This case highlights the successful surgical management of symptomatic CACS.
  • The report discusses indications, therapeutic options, and reviews existing literature on CACS management.