Santos Giovanna Mezzalira, Viarengo Luiz Marcelo Aiello, Oliveira Marcos Danillo Peixoto
Universidade de Taubaté - UNITAU, Faculdade de Medicina, Taubaté, SP, Brasil.
Hospital Regional do Vale do Paraíba, Departamento de Cardiologia Intervencionista, Taubaté, SP, Brasil.
J Vasc Bras. 2019 May 23;18:e20180094. doi: 10.1590/1677-5449.009418.
Celiac artery compression syndrome, also referred to as median arcuate ligament syndrome, celiac axis syndrome or Dunbar syndrome is a rare disorder consequent to extrinsic compression of the celiac trunk by the median arcuate ligament. Doppler ultrasound, multi-slice computed tomography angiography, magnetic resonance angiography, or invasive selective angiography can identify stenosis of the initial segment of the celiac artery and confirm diagnosis. Treatment options include open surgical or videolaparoscopic section of the median arcuate ligament and the fibers of the celiac plexus, or percutaneous transluminal angioplasty via an endovascular approach. We report herein an interesting case of a 38-year-old woman diagnosed with this rare condition and successfully treated with the surgical strategy.
腹腔干压迫综合征，也被称为正中弓状韧带综合征、腹腔动脉轴综合征或邓巴综合征，是一种罕见的疾病，由正中弓状韧带对腹腔干的外部压迫所致。多普勒超声、多层计算机断层血管造影、磁共振血管造影或侵入性选择性血管造影可以识别腹腔动脉起始段的狭窄并确诊。治疗选择包括开放性手术或电视腹腔镜下切断正中弓状韧带和腹腔神经丛纤维，或通过血管内途径进行经皮腔内血管成形术。我们在此报告一例有趣的病例，一名38岁女性被诊断患有这种罕见疾病，并通过手术策略成功治愈。
