Document Detail


The median arcuate ligament syndrome revisited by CT angiography and the use of ECG gating--a single centre case series and literature review.
MedLine Citation:
PMID:  18541631     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
N E Manghat; G Mitchell; C S Hay; I P Wells
Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2008-06-09
Journal Detail:
Title:  The British journal of radiology     Volume:  81     ISSN:  1748-880X     ISO Abbreviation:  Br J Radiol     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-09-04     Completed Date:  2008-10-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0373125     Medline TA:  Br J Radiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  735-42     Citation Subset:  AIM; IM    
Affiliation:
Department of Clinical Radiology, Derriford Hospital, Plymouth PL68DH, UK. docnatman@msn.com
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MeSH Terms
Descriptor/Qualifier:
Abdominal Pain / etiology*
Adult
Aged
Arterial Occlusive Diseases / physiopathology,  radiography*
Celiac Artery / physiopathology,  radiography*
Coronary Angiography / methods
Diaphragm / anatomy & histology,  radiography
Electrocardiography / methods*
Female
Hemodynamics / physiology*
Humans
Ligaments / anatomy & histology,  radiography*
Male
Middle Aged
Syndrome
Tomography, X-Ray Computed / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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