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Case Report The Journal for Vascular Ultrasound 29(2):91–92, 2005 Duplex Evaluation of Median Arcuate Ligament Compression Syndrome Diana Call, BS, RVT, Bruce Perler, MD, Glen Roseborough, MD Introduction kept constant with both inspiration and expiration, was used to evaluate flow velocities of both vessels. Separate origins of the superior mesenteric artery Median arcuate ligament compression syndrome is and celiac artery were noted. Flow velocities in the a relatively uncommon and somewhat controversial proximal superior mesenteric artery were constant at clinical entity. During expiration, the celiac artery be- 183 cm/sec with variations in respiration. However, comes trapped beneath the ligament of the dia- significant variations in velocities were demonstrated phragm, creating a stricture of the artery. The diag- at the proximal celiac artery during inspiration and nosis of median arcuate ligament compression syn- expiration. The proximal celiac artery went from 198 drome has historically been one of exclusion. A cm/sec with inspiration to 295 cm/sec with expira- vascular duplex exam of the mesenteric arteries in the tion. The Doppler analysis also showed poststenotic past was not considered definitive for this syndrome. turbulence with expiration in the mid-celiac artery. The standard protocol for a mesenteric duplex typi- B-mode imaging was able
Journal for Vascular Ultrasound – SAGE
Published: Jun 1, 2005
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