Mihas A A, Laws H L, Jander H P
Am J Surg. 1977 Jun;133(6):688-91. doi: 10.1016/0002-9610(77)90154-4.
Six patients with symptomatic celiac axis compression syndrome are reported on. Four were treated surgically with arterial reconstruction. None of these four patients was benefited more than temporarily by the corrective surgery. One patient had an abdominal exploration and highly selective vagotomy unrelated to the celiac axis and is symptom-free ten months after surgery. One patient had no surgery and remains symptomatic. Angiographic evaluation in all patients demonstrated that despite high grade stenosis of the celiac axis, there was no radiographically discernible reduction in constrast flow to the celiac axis because of well developed collaterals from the superior mesenteric artery. These results indicate that compression of the celiac axis may be merely an incidental angiographic finding, so this syndrome needs cautious evaluation.
本文报告了6例有症状的腹腔动脉压迫综合征患者。其中4例接受了动脉重建手术治疗。这4例患者中，没有一人从矫正手术中获得超过暂时缓解的益处。1例患者接受了与腹腔动脉无关的腹部探查和高选择性迷走神经切断术，术后10个月无症状。1例患者未接受手术，仍有症状。所有患者的血管造影评估显示，尽管腹腔动脉存在高度狭窄，但由于来自肠系膜上动脉的侧支循环发育良好，在影像学上没有发现流向腹腔动脉的造影剂流量有明显减少。这些结果表明，腹腔动脉受压可能仅仅是血管造影时偶然发现的情况，因此对该综合征需要谨慎评估。
