Median arcuate ligament syndrome with multivessel involvement: diagnosis with spiral CT angiography.
Intestinal angina may be caused by compression of the celiac artery by the median arcuate ligament of the diaphragm. Aortography can suggest the diagnosis, but the diaphragm cannot be visualized by this examination. We report a symptomatic woman in whom spiral computed tomography-guided angiography demonstrated stenosis of the celiac artery, superior mesenteric artery, and both renal arteries due to diaphragmatic compression. Surgery was beneficial.
Kopecky
K K
KK
Department of Radiology, Indiana University School of Medicine, Indiana University Hospital, Indianapolis 46202-5253, USA.
Stine
S B
SB
Dalsing
M C
MC
Gottlieb
K
K
D002445:Celiac Artery; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging; D003964:Diaphragm; D005260:Female; D006801:Humans; D017538:Mesenteric Artery, Superior; D008641:Mesenteric Vascular Occlusion / Q000000981:diagnostic imaging*; D008875:Middle Aged; D016491:Peripheral Vascular Diseases / Q000000981:diagnostic imaging*; D012078:Renal Artery Obstruction / Q000000981:diagnostic imaging*; D013577:Syndrome; D014057:Tomography, X-Ray Computed / Q000379:methods*