Laparoscopic Median Arcuate Ligament Release for Celiac Artery Compression

John J Tiedeken, MD, Richard Neville, MD, Fred Brody, MD MBA. The George Washington University Medical Center


Celiac artery compression is secondary to compression from the fibrous arch of the median arcuate ligament. Patients may present with a variety of symptoms including nausea, vomiting, diarrhea, bloating and abdominal pain. On screening ultrasound, velocities that exceed 200cm/sec while exhaling are abnormal and consistent with celiac artery compression. A subsequent MRA or aotogram confirms the diagnosis. The treatment of celiac artery compression is a median arcuate ligament release. The celiac plexus should also be divided at the midline. Concurrent intra-operative ultrasound is useful for localization of the celiac artery and qualitative and quantitative assessment. This video documents two patients that underwent a laparoscopic median arcuate release for celiac artery compression.

Session Number: VidTV3 – Video Channel Rotation Day 3
Program Number: V140

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