Cleavage of the Arcuate Ligament for Unstable Angina Pectoris Symptoms

M.A.P. Ligthart; G.G. Koning; H.R. Gehlmann; M.W.A. Verkroost; M.C. Warlé

EJVES Short Reports (Jan 2015)

Cleavage of the Arcuate Ligament for Unstable Angina Pectoris Symptoms

M.A.P. Ligthart,
G.G. Koning,
H.R. Gehlmann,
M.W.A. Verkroost,
M.C. Warlé

Affiliations

M.A.P. Ligthart: Department of Vascular- and Transplant Surgery, Radboud University Medical Center, Nijmegen, The Netherlands; Corresponding author.
G.G. Koning: Department of Vascular- and Transplant Surgery, Radboud University Medical Center, Nijmegen, The Netherlands
H.R. Gehlmann: Department of Cardiology, Radboud University Medical Center, Nijmegen, The Netherlands
M.W.A. Verkroost: Department of Cardio-Thoracic Surgery, Radboud University Medical Center, Nijmegen, The Netherlands
M.C. Warlé: Department of Vascular- and Transplant Surgery, Radboud University Medical Center, Nijmegen, The Netherlands

Journal volume & issue: Vol. 28
pp. 14 – 15

Abstract

Read online

: Introduction: One reason for recurrent angina after coronary artery bypass graft (CABG) surgery is failure of the bypass graft. Report: In this report a case of angina pectoris after CABG using the right gastroepiploic artery (GEA) as an inflow artery is described. The symptoms were due to compression of the celiac trunk by the median arcuate ligament. After division of the ligament, the patient was immediately relieved of his symptoms. Conclusion: For unexplained recurrent angina symptoms after CABG using the GEA, median arcuate ligament syndrome should be considered. Keywords: CABG, Celiac trunk, Median arcuate ligament

Published in EJVES Short Reports

ISSN: 2405-6553 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/ejves-short-reports

About the journal