Trans-Esophageal Echocardiography of the Descending Aorta and Celiac Trunk as an Intraoperative Monitoring for Median Arcuate Ligament Syndrome (MALS) Treatment: Technique Proposal and Two Case Reports

被引：0

作者：

Lubian, Marta ^{[1
,2
]}

Nisi, Fulvio ^{[1
]}

Giustiniano, Enrico ^{[1
]}

Ripani, Umberto ^{[3
]}

Piccioni, Federico ^{[1
]}

Cecconi, Maurizio ^{[1
,2
]}

机构：

[1] IRCCS Humanitas Clin & Res Hosp, Dept Anesthesia & Intens Care Units, Via Manzoni 56, I-20089 Milan, Italy

[2] Humanitas Univ, Dept Biomed Sci, Via Rita Levi Montalcini 4, I-20090 Milan, Italy

[3] Hosp Riuniti, Pain Therapy Ctr, Dept Emergency, Div Clin Anesthesia, Via Conca 71, I-60126 Ancona, Italy

来源：

SURGERIES | 2023年 / 4卷 / 01期

关键词：

Dunbar syndrome; median arcuate ligament syndrome (MALS); echocardiography; abdominal pain; ARTERY COMPRESSION SYNDROME; LAPAROSCOPIC TREATMENT; THORACIC AORTA; DISSECTION;

D O I：

10.3390/surgeries4010003

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Dunbar syndrome is caused by the compression of the celiac artery by the median arcuate ligament (MAL) and the diaphragmatic crura, presenting with abdominal pain. The treatment is surgical, with the aim of dissecting and separating the diaphragmatic crura from the celiac axis, restoring blood flow in the celiac trunk. We propose the use of transesophageal echocardiography to measure the peak systolic velocity in the celiac trunk and to evaluate, in real time, the efficacy of the surgery during MAL resection. Two clinical cases with practical implications are reported. In one of these, the ultrasound exam was useful in providing an intraoperative confirmation of the outcome of the resection.

引用

页码：17 / 25

页数：9

共 20 条

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