Case Report During routine dissection of a male cadaver, of unknown age and ethnicity, the left brachial artery was found to be tortuous. It was observed that the superficial brachial artery was arising from the third part of the axillary artery proximal to the origin of the posterior and anterior circumflex humeral arteries (Figures 1, 2). On following it in the arm, it was observed that at th...

Median arcuate ligament syndrome (MALS), otherwise called celiac artery compression (CACS), is an uncommon disorder that results from anatomical of the axis and/or ganglion by MAL. Patients typically present with abdominal pain unknown etiology exacerbated eating along nausea, vomiting, and weight loss. MALS a diagnosis exclusion should be considered in patients severe upper pain, which does no...

Nineteen-year-old girl operated for ostium secundum ASD sustained injury to the left innominate vein during sternotomy, and was repaired immediately. Pulse Doppler (Fig. 1) revealed continuous flow across the fistula and DSA (Fig. 2) showed flow to the left innominate vein into the superior vena cava. Fistula successfully repaired on 10th postoperative day. European Journal of Cardio-thoracic S...

We measured brachial and femoral artery flow velocity in eight subjects and peroneal and median muscle sympathetic nerve activity (MSNA) in five subjects during tilt testing to 40 degrees. Tilt caused similar increases in MSNA in the peroneal and median nerves. Tilt caused a fall in femoral artery flow velocity, whereas no changes in flow velocity were seen in the brachial artery. Moreover, wit...

Compression of the median nerve as it lies in the carpal tunnel can be caused by many lesions. Entin (1968) grouped them into three categories: those reducing the capacity of the tunnel, those increasing the volume of its contents, and those that form part of a systemic condition. Recently a case of the syndrome presented which fell into the second grouping: the cause was unusual and a search o...

Peripheral artery cannulation is a common procedure but can sometimes be difficult. Our goal was to determine if a median nerve block would increase the diameter and flow of the radial artery. Radial artery diameter and peak velocity was measured using a SonoSite Ultrasound System. Using ultrasound guidance, a median nerve block was performed with lidocaine. Subsequent measurements of the radia...

BACKGROUND Early hepatic artery thrombosis (HAT) is a potentially lethal complication after orthotopic liver transplantation (OLT) requiring immediate intervention. AIM To report an infrequent cause of HAT after OLT and by itself a controversial clinical entity, the median arcuate ligament celiac artery compression. CASE REPORT A 59-year-old female with hepatitis C virus-induced cirrhosis, ...

Celiac artery compression syndrome is a rare disorder characterized by episodic abdominal pain and weight loss. It is the result of external compression of celiac artery by the median arcuate ligament. We present a case of celiac artery compression syndrome in a 57-year-old male with severe postprandial abdominal pain and 30-pound weight loss. The patient eventually responded well to surgical d...