Cleavage of the Arcuate Ligament for Unstable Angina Pectoris Symptoms

摘要

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.