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.