The median arcuate ligament syndrome revisited by CT angiography and the use of ECG gating : a single centre case series and literature review

The significance of median arcuate ligament-associated coeliac axis compression can be readily delineated by CT angiography but is a source of some controversy in the literature, particularly given the relatively high incidence of this finding in otherwise asymptomatic individuals. This case series,...

Full description

Saved in:
Bibliographic Details
Published in:British journal of radiology 2008-09, Vol.81 (969), p.735-742
Main Authors: MANGHAT, N. E, MITCHELL, G, WELLS, I. P
Format: Article
Language:English
Subjects:
Abdominal Pain - etiology
Adult
Aged
Arterial Occlusive Diseases - diagnostic imaging
Arterial Occlusive Diseases - physiopathology
Biological and medical sciences
Cardiovascular system
Celiac Artery - diagnostic imaging
Celiac Artery - physiopathology
Coronary Angiography - methods
Diaphragm - anatomy & histology
Diaphragm - diagnostic imaging
Electrocardiography - methods
Female
Hemodynamics - physiology
Humans
Investigative techniques, diagnostic techniques (general aspects)
Ligaments - anatomy & histology
Ligaments - diagnostic imaging
Male
Medical sciences
Middle Aged
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Syndrome
Tomography, X-Ray Computed - methods
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The significance of median arcuate ligament-associated coeliac axis compression can be readily delineated by CT angiography but is a source of some controversy in the literature, particularly given the relatively high incidence of this finding in otherwise asymptomatic individuals. This case series, with an emphasis on CT findings, aims to (i) illustrate the anatomy, (ii) elude to the variable outcome and uncertainty of those patients diagnosed, (iii) question the reliability of existing imaging techniques, with the additional use of multiphase electrocardiogram (ECG)-gated CT acquisition, and therefore (iv) augment the description of the currently recognized pathophysiology. We propose the clinical usefulness of ECG-gated vascular angiography, other than that necessary to image the coronary arteries, in vascular compression syndromes such as this.
ISSN:0007-1285
1748-880X
DOI:10.1259/bjr/43571095