Feasible management of median arcuate ligament syndrome in orthotopic liver transplantation recipients.

Background: In orthotopic liver transplantation (OLT) recipients, median arcuate ligament syndrome (MALS) is considered a risk factor for hepatic arterial thrombosis (HAT), which is dreadful for OLT recipients. Different alternative surgical procedures have been proposed to overcome the impact of MALS on transplantation, but clinical evidence is still scarce.

Aim: To evaluate the feasible surgical management of MALS to reduce complications in OLT patients.