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Mesenteric Vascular Disease pp 375–384Cite as

Results of Open and Laparoscopic Median Arcuate Ligament Release

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Abstract

The available peer-reviewed evidence demonstrates that division of the MAL in patients with median arcuate ligament syndrome may result in continued symptom relief in the majority of patients. The syndrome appears to have a female predominance and a wide array of presenting clinical symptoms. Arterial reconstruction has been reported to have a positive effect on clinical improvement following open MAL release; however, series reporting outcomes following the laparoscopic approach have demonstrated good results without the need for revascularization. The pathophysiology of this disorder is still not well understood and one of the biggest challenges for the vascular surgeon treating this condition is selecting the optimal patient and predicting successful outcomes. Because the majority of papers are small, single-institution studies, the likelihood that treatment failures and complications are underreported is high. Although there have been no deaths reported following laparoscopic MAL division, open conversion for bleeding from the perivisceral aorta is a potentially morbid and life-threatening complication that needs to be discussed with patients undergoing this procedure.

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Authors and Affiliations

  1. Division of Vascular Surgery, Gonda (Goldschmied) Vascular Center, Ronald Reagan-UCLA Medical Center, Department of Surgery, Division of Vascular Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA

    Juan Carlos Jimenez MD, FACS

  2. Department of Surgery, Ronald Reagan UCLA Medical Center, Los Angeles, CA, USA

    Erik P. Dutson MD

Authors
  1. Juan Carlos Jimenez MD, FACS
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  2. Erik P. Dutson MD
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Correspondence to Juan Carlos Jimenez MD, FACS .

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Editors and Affiliations

  1. Division of Vascular and Endovascular Therapy, Mayo Clinic Gonda Vascular Center, Rochester, Minnesota, USA

    Gustavo S. Oderich

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Jimenez, J.C., Dutson, E.P. (2015). Results of Open and Laparoscopic Median Arcuate Ligament Release. In: Oderich, G. (eds) Mesenteric Vascular Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1847-8_30

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  • DOI: https://doi.org/10.1007/978-1-4939-1847-8_30

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1846-1

  • Online ISBN: 978-1-4939-1847-8

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