¨A síndrome de Dunbar ou síndrome da compressão do tronco celíaco ou síndrome do ligamento arqueado mediano é uma condição clínica infrequente, com poucos critérios para diagnóstico e com fisiopatologia obscura. Está usualmente associada à compressão extrínseca do tronco celíaco por banda fibrosas do diafragma e fibras neurais simpáticas, próximo a sua emergência da aorta. Alguns pacientes referem manifestações clínicas, tais como dor abdominal pós-prandial, perda de peso e vômito. O tratamento primário é a divisão cirúrgica das fibras do ligamento arqueado mediano. O acesso cirúrgico tradicional tem sido através de laparotomia abdominal superior. O acesso laparoscópico pode ser empregado com sucesso para o tratamento da síndrome de Dunbar. ¨
■ Dunbar syndrome: a rare presentation of abdominal angina treated by revascularization of the celiac artery by endovascular stenting
R Shetty, K Subramanyam, C S Jacoob
International Journal of Research in Medical Sciences 2018, vol 6 (6): 2169-2171
https://www.msjonline.org/index.php/ijrms/article/viewFile/4875/3987
■ Dunbar syndrome: a rare case of angina abdominal
Y Akcali, R Atabev
Am J Cardiol 2018, vol 121 (8): e152-e153
https://www.ajconline.org/article/S0002-9149(18)30699-4/fulltext
■ Median arcuate ligament syndromme: It is not always gastritis
A Kuruvilla, G Murtaza, A Cheema
Journal of Investigative Medicine High Impact – Case Reports set 2017
https://journals.sagepub.com/doi/full/10.1177/2324709617728750
■ Open vascular treatment of median arcuate ligament syndrome
M Duran, F Simon, N Ertas et AL
BMC Surgery 2017, vol 17: 95
https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-017-0289-8
■ Hybrid (laparoscopy + stent) treatment of celiac trunk compression syndrome (Dunbar syndrome, median arcuate ligament syndrome (MALS))
Maciej Michalik, Natalia Dowgiałło-Wnukiewicz, Paweł Lech et al
Wideochir Inne Tech Maloinwazyjne. 2016 Dec; 11(4): 236–239
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5299080/
■ Surgical treatment of Dunbar syndrome
França, Luís Henrique Gil and Mottin, Carla
- vasc. bras., Mar 2013, vol.12, no.1, p.57-61
■ Laparoscopic treatment of Dunbar syndrome: a case report
Orlando Jorge M. Torres, Ozimo Pereira Gama-Filho, Camila Cristina Salazar Torres et al
Int J Surg Case Rep. 2017; 37: 230–232
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5524307/
■ Open vascular treatment of median arcuate ligament syndrome
Mansur Duran, Florian Simon, Neslihan Ertas, Hubert Schelzig, Nikolaos Floros
BMC Surg. 2017; 17: 95
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5575896/
■ Tratamento laparoscópico da síndrome de compressão do tronco celíaco: relato de caso
J C U Coelho, J C da Silva, M F Domingos et al
ABCD Arq Bras Cir Dig 2015, vol 28 (4): 295
http://www.scielo.br/pdf/abcd/v28n4/pt_0102-6720-abcd-28-04-00295.pdf
■ Laparoscopic decompression as treatment for median arcuate ligament syndrome
M Rubinkiewicz, PK Ramakrishnan, BM Henry, J Roy, A Budzyski
Ann R Coll Surg Engl. 2015 Sep 1; 97(6): e96–e99
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5126249/
■ Celiac artery compression syndrome: an experience in a single institution in Taiwan
J Chou, C Lin, C Feng et al
Gastroenterol Res Prac 2012: 2012: 935721
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3439958/
■ Median arcuate ligament syndrome in a patient with Crohn´s disease
Alessandro Sturiale, Giovanni Alemanno, Francesco Giudici et al
Int J Surg Case Rep. 2013; 4(4): 399–402
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3604703/
■ Median arcuate ligament syndrome in the pediatric population
Grace Z. Mak, Christopher Speaker, Kristen Anderson et al
J Pediatr Surg. 2013 Nov; 48(11): 2261–2270
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3896126/
■ The median arcuate ligament syndrome: a mimicker of mesenteric vasculitis
J C Kay, R A Arroyo
Military Medicine 2013, vol 8: e967-e969
https://academic.oup.com/milmed/article/178/8/e967/4259713
by Dr Paulo Fernando Leite
■ Cardiologia/Prevenção Cardiovascular
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