Surgical treatment of Dunbar syndrome

Author:

França Luís Henrique Gil1,Mottin Carla2

Affiliation:

1. Universidade Federal do Paraná; Universidade Federal do Rio Grande do Sul; Sociedade Brasileira de Angiologia e de Cirurgia Vascular, Brazil

2. Hospital Geral (Exército) de Curitiba, Brazil

Abstract

Dunbar syndrome or celiac artery compression syndrome is an infrequently described clinical condition with poorly defined diagnostic criteria and an obscure pathophysiology. It is usually associated with an extrinsic compression upon the celiac axis near its takeoff from the aorta by fibrous diaphragmatic bands or sympathetic neural fibers. The authors report the case of a 70-year-old male patient presenting with nausea, epigastric pain, and weight loss. An aortography showed a compression of the celiac trunk. A preliminary attempt at percutaneous transluminal angioplasty and stenting proved unsuccessful. The patient became asymptomatic and his clinical condition improved after surgical release of the celiac trunk by partial section of the arcuate ligament of the diaphragm and with resection of the neural, fibrotic, and lymphatic tissues surrounding the aortic and visceral vessels. The purpose of this report is to discuss the indications and the therapeutic options of this syndrome.

Publisher

FapUNIFESP (SciELO)

Subject

Cardiology and Cardiovascular Medicine

Reference17 articles.

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4. Celiac artery compression syndromes;Bech FR;Surg Clin North Am,1997

5. Long-term evaluation of the celiac band syndrome;Evans WE;Surgery,1974

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1. Dunbar syndrome - case report;Jornal Vascular Brasileiro;2023

2. Síndrome de Dunbar - relato de caso;Jornal Vascular Brasileiro;2023

3. Celiac artery compression: Dunbar syndrome;Jornal Vascular Brasileiro;2019

4. LAPAROSCOPIC TREATMENT OF CELIAC AXIS COMPRESSION SYNDROME: CASE REPORT;ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo);2015-12

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