Mirza Aleem K, Kendrick Michael L, Bower Thomas C, DeMartino Randall R
Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, Minn.
Division of Hepatobiliary and Pancreas Surgery, Mayo Clinic, Rochester, Minn.
J Vasc Surg Cases Innov Tech. 2020 May 28;6(2):239-242. doi: 10.1016/j.jvscit.2020.03.002. eCollection 2020 Jun.
Median arcuate ligament syndrome is the result of celiac axis compression by the diaphragmatic crura. Although the celiac artery is the most common vessel to have compression, the renal arteries may also rarely be compressed by the crural fibers of the diaphragm, which may cause secondary hypertension. We present two cases of renovascular hypertension secondary to renal artery compression by the diaphragmatic crura. The first patient was treated with open decompression and wide resection of the crural fibers, and the second patient was decompressed laparoscopically. Neither case required renal artery reconstruction. Antihypertensives were discontinued in both patients postoperatively.
正中弓状韧带综合征是由膈脚压迫腹腔干所致。虽然腹腔干是最常受压迫的血管，但肾动脉也可能很少被膈脚纤维压迫，这可能导致继发性高血压。我们报告两例因膈脚压迫肾动脉继发的肾血管性高血压病例。第一例患者接受了开放减压和膈脚纤维广泛切除术，第二例患者接受了腹腔镜减压。两例均无需肾动脉重建。术后两名患者均停用了抗高血压药物。
