Median arcuate ligament compression syndrome in monozygotic twins |
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| Affiliation: | 1. Associate Professor, Department of Oral and Maxillofacial Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Japan;2. Department Head, Department of Oral and Maxillofacial Surgery, Misawa City Hospital, Misawa, Japan;3. Professor, Department of Oral and Maxillofacial Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Japan;4. Assistant Professor, Department of Radiology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan;6. Assistant Professor, Department of Radiology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan;5. Professor, Department of Radiology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan;1. Department of Cardiovascular Medicine, Assiut University Hospital, Assiut, Egypt;2. Department of Radiology, Assiut University Hospital, Assiut, Egypt |
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| Abstract: | Twin 27-year-old women had symptomatic mesenteric ischemia caused by median arcuate ligament compression. Arteriography demonstrated severe celiac artery stenosis in one twin, celiac artery occlusion in the other, and proximal superior mesenteric artery narrowing with retrograde filling from a meandering mesenteric artery in both. Division of the ligament and direct celiac artery revascularization completely relieved symptoms in both patients. Median arcuate ligament compression of the celiac and superior mesenteric arteries can result in mesenteric ischemia. Documentation of this unusual syndrome in monozygotic twins suggests that the responsible anatomic relationships are congenital. (J VASC SURG 1994;19:934-8.) |
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