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Published on: August 1, 2025
Surgical treatment of celiac artery aneurysm associated with median arcuate ligament
O Mercier1, E Fadel, M De Perrot
1Department of Thoracic and Vascular Surgery and Heart Lung Transplantation Marie Lannelongue Hospital Le Plessis-Robinson, Paris, France.
Insights
Celiac artery aneurysms, though rare, pose a rupture risk. This study suggests median arcuate ligament compression may contribute to their development and impact surgical choices.
Area of Science:
- Vascular Surgery
- Gastroenterology
- Radiology
Background:
- Celiac artery aneurysms are uncommon yet critical vascular conditions due to rupture potential.
- Atherosclerosis and fibrous dysplasia are primary causes, while median arcuate ligament compression is often asymptomatic.
Observation:
- Three cases of post-stenotic celiac artery aneurysm associated with median arcuate ligament compression were identified over two years.
- This presentation is rare, with only eight such cases previously reported in medical literature.
Findings:
- The median arcuate ligament may play a role in the pathogenesis of celiac artery aneurysms.
- The presence of median arcuate ligament compression can influence the surgical approach for celiac artery aneurysms.
Implications:
- Recognizing the link between median arcuate ligament compression and celiac artery aneurysms is crucial for diagnosis.
- Understanding this association can refine surgical strategies and improve patient outcomes for this rare condition.
Abstract:
Celiac artery aneurysms are rare but potentially fatal because of the risk of rupture. Atherosclerosis and fibrous dysplasia are the two most common etiologies. Median arcuate ligament compression of the celiac artery is common but usually asymptomatic. We report three cases of post-stenotic celiac artery aneurysm with median arcuate ligament compression admitted to our hospital over the past two years. Although the incidence is rare with only 8 cases reported in the literature, a median arcuate ligament may have a role in the development of celiac artery aneurysms and its presence can influence the surgical strategy.