Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
  • Users Online: 93
  • Home
  • Print this page
  • Email this page
Year : 2017  |  Volume : 3  |  Issue : 3  |  Page : 55-57

Perils with laparoscopic surgery for median arcuate ligament syndrome

Department of Anaesthesia, Critical Care, Pain and Palliative Care, Dr. RML Hospital, PGIMER, New Delhi, India

Correspondence Address:
Namita Saraswat
Department of Anaesthesia, Critical Care, Pain and Palliative Care, Dr. RML Hospital, PGIMER, New Delhi
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/kaj.kaj_29_17

Rights and Permissions

A 64 years, ASA 1 male patient with median arcuate ligament syndrome was posted for laparoscopic release of coeliac artery compression. The median arcuate ligament is a fibrous arch that unites the diaphragmatic crura on either side of the aortic hiatus. The ligament usually passes superior to the origin of the celiac artery near the first lumbar vertebra. . Infrequently, when this union occurs anterior to celiac axis it may cause hemodynamically significant stenosis compressing the vessel and nerves leading to median arcute ligament (MALS).The surgery of median arcuate ligament release for coeliac artery decompression involved working in the proximity of major vessels. Anticipation of major blood loss should be kept in mind that may be may be further compounded by the disease process in the vessels which make repair of vessels more difficult.Iatrogenic aortic injury happened in our case which was succesfully managed. Timely involvement of cardiovascular surgeons is important therefore the case has to be discussed with them prior proceeding for surgery. Hypothermia, hemorrhagic shock, coagulopathy, hypoxia, acidosis,pre-renal failure can be prevented with thorough preparation and timely intervention.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded49    
    Comments [Add]    

Recommend this journal