Celiac Artery Stenosis

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Celiac artery stenosis may be caused by atherosclerotic degeneration or by compression exerted by the arched ligament of the diaphragm.

Celiac artery compression syndrome (angina abdominis) is abdominal or epigastric pain triggered by meals.

Symptoms may resolve after surgical resection of the arched ligament.

Improvements observed after surgery may be due to the concurrent destruction of the celiac ganglion rather than to the severance of the arched ligament.

Arterial flow in the celiac tract should be measured using continuous wave Doppler.

The signal should be measured during held inspiration because during expiration, an increase in the compression of the celiac tripod by the arched ligament may increase flow velocity.


Erden A, Yurdakul M, Cumhur T: Marked increase in flow velocities during deep expiration: a duplex Doppler sign of celiac artery compression syndrome. Cardiovasc Intervent Radiol 1999, 22:331-332.

Moneta GL, Yeager RA, Dalman R, Antonovic R, Hall LD, Porter JM: Duplex ultrasound criteria for diagnosis of splanchnic artery stenosis or occlusion. J Vasc Surg 1992, 16(5):796.

Moneta GL, Lee RW, Yeager RA, Taylor LM Jr, Porter JM: Mesenteric duplex scanning: a blinded prospective study. J Vasc Surg 1993, 17(1):79-84.

Kokotsakis JN, Lambidis CD, Lioulias AG, Skouteli ET, Bastounis EA, Livesay JJ: Celiac artery compression syndrome. Cardiovasc Surg 2000, 8(3):219-222.

Loffeld Rj, Overtoom HA, Rauwerda JA: The celiac artery compression syndrome. Report of 5 cases. Digestion 1995, 56:534-537.

Jamieson CW: Coeliac axis compression syndrome. Br Med J 1986, 344:159.

Hivet M, Lagadec B, Poilleux J: Chronic stenosis of the cardiac trunk. Chirurgie 1970, 96:483-486.

Harjola PT, Lahtiharju A: Celiac axis syndrome. Abdominal angina caused by external compression of celiac artery. Am J Surg 1968, 115(6):864-869.

Dunbar JD, Molnar W, Beman FF, Marable SA: Compression of the celiac trunk and abdominal angina. Am J Roentgenol Radium Ther Nucl Med 1965, 95(3):731-744.

Harjola PT: A rare obstruction of the coeliac artery. Report of a case. Ann Chir Gynaecol Fenn 1963, 52:547-550.

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