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Updated: Jan 12, 2026

Author Spotlight: Advancing Spectral Characterization of Physiological and Malperfused Tissues
Published on: July 5, 2024
Multivisceral arterial compression by the median arcuate ligament in a 33-year-old woman
Taleen A MacArthur1, Manju Kalra1, Melinda S Schaller1
1Division of Vascular & Endovascular Surgery, Gonda Vascular Center, Mayo Clinic, Rochester, MN.
Abstract:
Compression of the superior mesenteric artery (SMA) by the median arcuate ligament (MAL) is a rare cause of MAL syndrome. This is a case of a 33-year-old woman with a history of postprandial abdominal pain who was found to have compression of the celiac artery and SMA by the MAL. In this case, both arteries were otherwise healthy, and release of the MAL resulted in resolution of the celiac artery and SMA stenosis and sustained symptomatic relief.
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