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Median Arcuate Ligament Syndrome: Experimental and Clinical Observations

Median Arcuate Ligament Syndrome: Experimental and Clinical Observations Abstract Although the existence of abdominal angina as a clinical entity distinct from angina pectoris was proposed in the early 1900's,1 it was not generally accepted even as late as 1931 that intraabdominal pain of vascular origin could occur in the absence of gangrene or peritonitis.2 In 1936, Dunphy3 reported seven patients in whom recurrent attacks of abdominal pain preceded the development of fatal mesenteric occlusion and emphasized the importance of recognizing that transient abdominal pain could result from intestinal ischemia. Mikkelsen,4 in 1957, postulated that abdominal angina could be cured, and intestinal infarction prevented by reestablishing flow through the diseased mesenteric vessels. The advisability of surgical correction of these vascular lesions is now generally accepted. Atherosclerosis is the most common cause of chronic ischemia to the alimentary tract.5 It is generally believed that as long as the occlusive process is a gradual one, two of References 1. Goodman, E.H.: Angina Abdominis , Amer J Med Sci 155:524-528 ( (Jan) -June) 1918.Crossref 2. Morley, J.: Abdominal Pain , New York: William Wood & Co., 1931. 3. Dunphy, J.E.: Abdominal Pain of Vascular Origin , Amer J Med Sci 192:109-113 (No. (1) ) (July) 1936.Crossref 4. Mikkelsen, W.P.: Intestinal Angina: Its Surgical Significance , Amer J Surg 94:262-269 ( (Aug) ) 1957.Crossref 5. Rob, C.: Surgical Diseases of the Celiac and Mesenteric Arteries , Arch Surg 93:21-32 ( (July) ) 1966.Crossref 6. Morris, G.C., Jr., et al: Revascularization of the Celiac and Superior Mesenteric Arteries , Arch Surg 84:113-124 ( (Jan) ) 1962.Crossref 7. Fry, W.J., and Kraft, R.O.: Visceral Angina , Surg Gynec Obstet 417-424, (Oct) 1963. 8. Blalock, A., and Levy, S.E.: Gradual Complete Occlusion of the Celiac Axis, the Superior and Inferior Mesenteric Arteries, With Survival of Animals: Effects of Ischemia on Blood Pressure , Surgery 5:175-178 ( (Feb) ) 1936. 9. Rob, C.G., and Owen, K.: Ligation of Both the Celiac Axis and Superior Mesenteric Artery With Survival of the Patient , Brit J Surg 44:247-249 ( (July) -May) 1956-1957.Crossref 10. Dunbar, J.D., et al: Compression of the Celiac Trunk and Abdominal Angina , Amer J Roentgen 95:731-743 (No. (3) ) (Nov) 1965.Crossref 11. Deutsch, V.: Compression of the Celiac Trunk and the Angiographic Evaluation of its Hemodynamic Significance , Clin Radiol 19:309-314, 1968.Crossref 12. Marable, S.A.; Molnar, W.; and Berman, F.M.: Abdominal Pain Secondary to Celiac Axis Compression , Amer J Surg 111:493, 1966.Crossref 13. Snyder, M.A.; Mahoney, E.B.; and Rob, C.G.: Symptomatic Celiac Artery Stenosis Due to Constriction by the Neurofibrous Tissue of the Celiac Ganglion , Surgery 61:372-376 ( (March) ) 1967. 14. Stoney, R.J., and Wylie, E.J.: Recognition and Surgical Management of Visceral Ischemic Syndromes , Ann Surg 164:714-721 ( (Oct) ) 1966.Crossref 15. Netter, F.: Sympathetic Nerves of the Abdomen: The Ciba Collection of Medical Illustrations , Ciba Pharm Products , vol 1, p 88, 1953. 16. Herrick, J.F.; Essex, H.E.; and Baldes, E.J.: The Effect of Lumbar Sympathectomy on the Flow of Blood in the Femoral Artery of the Dog , Amer J Physiol 101:213-217 ( (July) ) 1932. 17. Imig, C.J.; Randall, B.F.; and Hines, H.M.: Effect of Pentobarbital Sodium Anesthesia Upon Volume Blood Flow, Arterial Pressure, and Heart Rate , Proc Soc Exp Biol Med 82:9-10, 1953.Crossref 18. Grindlay, J.H.; Herrick, J.F.; and Baldes, E.J.: Rhythmicity of the Spleen in Relation to Blood Flow , Amer J Physiol 127:119-126, 1939. 19. DeBakey, M.E., et al: The "Borrowing-Lending" Hemodynamic Phenomenon (Hemometakinesia) and its Therapeutic Application in Peripheral Vascular Disturbances , Ann Surg 126:850-865 (No. (6) ) 1947.Crossref 20. George, R.: Topography of the Unpaired Visceral Branches of the Abdominal Aorta , J Anatomy , 69, (Oct) -July 1934-1935. 21. Lipshutz, B.: A Composite Study of the Celiac Axis Artery , Ann Surg 65, No. (2) , Feb 1917. 22. Rothfield, N.J.H.: Experimental Fibromuscular Arterial Dysplasia , Radiology 91:1233-1234 ( (Dec) ) 1968.Crossref 23. Kountz, S.L.; Laub, D.R.; and Connolly, J.E.: "Aortoiliac Steal" Syndrome , Arch Surg 92:490-497 ( (April) ) 1966.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Median Arcuate Ligament Syndrome: Experimental and Clinical Observations

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Publisher
American Medical Association
Copyright
Copyright © 1969 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1969.01340160021005
Publisher site
See Article on Publisher Site

Abstract

Abstract Although the existence of abdominal angina as a clinical entity distinct from angina pectoris was proposed in the early 1900's,1 it was not generally accepted even as late as 1931 that intraabdominal pain of vascular origin could occur in the absence of gangrene or peritonitis.2 In 1936, Dunphy3 reported seven patients in whom recurrent attacks of abdominal pain preceded the development of fatal mesenteric occlusion and emphasized the importance of recognizing that transient abdominal pain could result from intestinal ischemia. Mikkelsen,4 in 1957, postulated that abdominal angina could be cured, and intestinal infarction prevented by reestablishing flow through the diseased mesenteric vessels. The advisability of surgical correction of these vascular lesions is now generally accepted. Atherosclerosis is the most common cause of chronic ischemia to the alimentary tract.5 It is generally believed that as long as the occlusive process is a gradual one, two of References 1. Goodman, E.H.: Angina Abdominis , Amer J Med Sci 155:524-528 ( (Jan) -June) 1918.Crossref 2. Morley, J.: Abdominal Pain , New York: William Wood & Co., 1931. 3. Dunphy, J.E.: Abdominal Pain of Vascular Origin , Amer J Med Sci 192:109-113 (No. (1) ) (July) 1936.Crossref 4. Mikkelsen, W.P.: Intestinal Angina: Its Surgical Significance , Amer J Surg 94:262-269 ( (Aug) ) 1957.Crossref 5. Rob, C.: Surgical Diseases of the Celiac and Mesenteric Arteries , Arch Surg 93:21-32 ( (July) ) 1966.Crossref 6. Morris, G.C., Jr., et al: Revascularization of the Celiac and Superior Mesenteric Arteries , Arch Surg 84:113-124 ( (Jan) ) 1962.Crossref 7. Fry, W.J., and Kraft, R.O.: Visceral Angina , Surg Gynec Obstet 417-424, (Oct) 1963. 8. Blalock, A., and Levy, S.E.: Gradual Complete Occlusion of the Celiac Axis, the Superior and Inferior Mesenteric Arteries, With Survival of Animals: Effects of Ischemia on Blood Pressure , Surgery 5:175-178 ( (Feb) ) 1936. 9. Rob, C.G., and Owen, K.: Ligation of Both the Celiac Axis and Superior Mesenteric Artery With Survival of the Patient , Brit J Surg 44:247-249 ( (July) -May) 1956-1957.Crossref 10. Dunbar, J.D., et al: Compression of the Celiac Trunk and Abdominal Angina , Amer J Roentgen 95:731-743 (No. (3) ) (Nov) 1965.Crossref 11. Deutsch, V.: Compression of the Celiac Trunk and the Angiographic Evaluation of its Hemodynamic Significance , Clin Radiol 19:309-314, 1968.Crossref 12. Marable, S.A.; Molnar, W.; and Berman, F.M.: Abdominal Pain Secondary to Celiac Axis Compression , Amer J Surg 111:493, 1966.Crossref 13. Snyder, M.A.; Mahoney, E.B.; and Rob, C.G.: Symptomatic Celiac Artery Stenosis Due to Constriction by the Neurofibrous Tissue of the Celiac Ganglion , Surgery 61:372-376 ( (March) ) 1967. 14. Stoney, R.J., and Wylie, E.J.: Recognition and Surgical Management of Visceral Ischemic Syndromes , Ann Surg 164:714-721 ( (Oct) ) 1966.Crossref 15. Netter, F.: Sympathetic Nerves of the Abdomen: The Ciba Collection of Medical Illustrations , Ciba Pharm Products , vol 1, p 88, 1953. 16. Herrick, J.F.; Essex, H.E.; and Baldes, E.J.: The Effect of Lumbar Sympathectomy on the Flow of Blood in the Femoral Artery of the Dog , Amer J Physiol 101:213-217 ( (July) ) 1932. 17. Imig, C.J.; Randall, B.F.; and Hines, H.M.: Effect of Pentobarbital Sodium Anesthesia Upon Volume Blood Flow, Arterial Pressure, and Heart Rate , Proc Soc Exp Biol Med 82:9-10, 1953.Crossref 18. Grindlay, J.H.; Herrick, J.F.; and Baldes, E.J.: Rhythmicity of the Spleen in Relation to Blood Flow , Amer J Physiol 127:119-126, 1939. 19. DeBakey, M.E., et al: The "Borrowing-Lending" Hemodynamic Phenomenon (Hemometakinesia) and its Therapeutic Application in Peripheral Vascular Disturbances , Ann Surg 126:850-865 (No. (6) ) 1947.Crossref 20. George, R.: Topography of the Unpaired Visceral Branches of the Abdominal Aorta , J Anatomy , 69, (Oct) -July 1934-1935. 21. Lipshutz, B.: A Composite Study of the Celiac Axis Artery , Ann Surg 65, No. (2) , Feb 1917. 22. Rothfield, N.J.H.: Experimental Fibromuscular Arterial Dysplasia , Radiology 91:1233-1234 ( (Dec) ) 1968.Crossref 23. Kountz, S.L.; Laub, D.R.; and Connolly, J.E.: "Aortoiliac Steal" Syndrome , Arch Surg 92:490-497 ( (April) ) 1966.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Oct 1, 1969

References