ArticleFrontiers in surgery2023
Systematic hybrid laparoscopic and endovascular treatment of median arcuate ligament syndrome: A single-center experience.
Article in Frontiers in surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 8 citations in OpenAlex.
- Stepwise management of median arcuate ligament syndrome with visceral artery aneurysm: Surgical ligament release followed by percutaneous transluminal angioplasty.Radiology case reports · 2026Article
- Collateral circulation as a possible predictor of symptomatic median arcuate ligament syndrome: a case report.Annals of medicine and surgery (2012) · 2026Article
- Current Evidence on the Treatment of Median Arcuate Ligament Syndrome: A Comprehensive Review.Cureus · 2026Review
- Laparoscopic Approach to Median Arcuate Ligament Syndrome: A Single-Center Experience.Medicina (Kaunas, Lithuania) · 2026Observational
- Intraoperative evaluation of median arcuate ligament syndrome using a transit-time flowmeter: a case report.BMC surgery · 2025Article
- Successful Treatment of Median Arcuate Ligament Syndrome in the Hybrid Operating Room: A Report of Four Cases.Cureus · 2025Article
- Median arcuate ligament syndrome (MALS): A case report of a young patient.International journal of surgery case reports · 2025Article
- Embolization of ruptured pancreaticoduodenal arcade aneurysms due to median arcuate ligament without celiac artery revascularization: a single-center experience and literature review.CVIR endovascular · 2025Article
- Chronic Post-Prandial Epigastric Pain Associated with Median Arcuate Ligament Syndrome and Atherosclerosis of the Celiac Trunk in An Elderly Woman: A Case Report.The American journal of case reports · 2025Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Median arcuate ligament syndrome (MALS) is caused by celiac trunk (CT) compression by the median arcuate ligament. Clinically, this pathology varies from postprandial pain (Dunbar syndrome) to a life-threatening hemorrhage because of a rupture of a gastroduodenal artery aneurysm (GAA). Due to the low prevalence of this disease, there is no standard management for MALS. Material and method: This was a single-center, retrospective study of 13 patients. Two groups were identified on the basis of the initial clinical presentation: those operated for a GAA rupture (bleeding group-BG) and those operated electively for Dunbar syndrome (Dunbar syndrome group-DG). The primary endpoint was 30-day postoperative complications of a systematic laparoscopic release of the median arcuate ligament and stenting during the same procedure. Results: Seven patients (54%) underwent elective surgery. Six patients (46%) underwent semiurgent repair under elective conditions post-embolization for GAA bleeding. The total operative time was longer in the BG ( Conclusions: A combined approach of laparoscopic release of the median arcuate ligament and stenting during the same procedure is feasible and safe, and this approach must be systematically discussed in symptomatic patients.
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