@davidshivers
I was diagnosed with MALS some years ago- it took time to get the diagnosis.
The surgery to cut the ligament is not too complicated, but does not always get rid of symptoms.
I was fine initially after surgery but symptoms recurred after 6 months. The artery had been so deformed by the ligament pressure that it never really straightened out. I had a stent placed and symptom’s disappeared for 7 years. Again, the pain and nausea returned and a new stent was placed inside the first one. I had to have another procedure this year, 3 years later- a balloon opened the artery up again, not complete, but enough to be pain free again.
I still have nausea and poor appetite for 3+ years, but no pain.
The alternative is open surgery with vascular repair. I wouldn’t mind, but vascular surgeon does not think it’s a possibility for me.