ARDMS Vascular Technology (VT) Exam

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A 40-year-old patient presents with post-prandial epigastric pain. During a mesenteric duplex exam, the celiac artery PSV is 140 cm/s during quiet inspiration. When the patient performs a deep expiration, the PSV increases sharply to 360 cm/s with associated post-stenotic turbulence. These findings are most characteristic of:

Atherosclerotic celiac artery stenosis. Celiac artery dissection. Median Arcuate Ligament Syndrome (MALS). Superior Mesenteric Artery (SMA) syndrome.

Correct Answer:

Median Arcuate Ligament Syndrome (MALS).

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