Ultrasound diagnosis of pulmonary sling with proximal stenosis of left pulmonary artery and patent arterial duct
Authors discuss methods of echocardiographic diagnosis of the pulmonary sling with stenosis and hypoplasia of the left pulmonary artery and patent arterial duct with massive left‑to‑right shunt, based on a case of the newborn with resistant to treatment heart failure, with initial diagnosis of pa...
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| Format: | Article |
| Language: | English |
| Published: |
Sciendo
2013-03-01
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| Series: | Journal of Ultrasonography |
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| Online Access: | http://jultrason.pl/index.php/issues/volume-13-no-52/ultrasound-diagnosis-of-pulmonary-sling-with-proximal-stenosis-of-left-pulmonary-artery-and-patent-arterial-duct?aid=122 |
| _version_ | 1818176058819608576 |
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| author | Wojciech Mądry Maciej A. Karolczak |
| author_facet | Wojciech Mądry Maciej A. Karolczak |
| author_sort | Wojciech Mądry |
| collection | DOAJ |
| description | Authors discuss methods of echocardiographic diagnosis of the pulmonary sling with
stenosis and hypoplasia of the left pulmonary artery and patent arterial duct with massive
left‑to‑right shunt, based on a case of the newborn with resistant to treatment heart
failure, with initial diagnosis of patent ductus arteriosus, referred to surgical treatment.
The optimal echocardiographic views permitting establish diagnosis of the pulmonary
sling were suggested. The special attention was paid to high parasternal and suprasternal
views visualizing vessels of the upper mediastinum as well as characteristic differences
between the normal and pathologic picture. The typical features of the echocardiogram
suggesting pulmonary sling, like the lack of the left pulmonary artery in its expected
position, and the abnormal branching pattern of the right pulmonary artery were indicated.
The greatest diagnostic difficulties in visualization of the abnormal route of the left
pulmonary artery were related to the presence of air‑containing tissues, like lungs and
central airways between the ultrasound probe and area of interest. The other was the
masking influence of the large patent arterial duct, that may mimic the left pulmonary
artery arising from the pulmonary trunk. The other entities requiring differentiation with
sling, like aplasia of the left lung, the direct or indirect aortic origin of the left pulmonary
artery, were discussed. The role of other visualization technics, like computed 3D tomography,
and magnetic nuclear resonance, as well as direct visualization of central airways
with bronchoscopy in establishing precise diagnosis were stressed. |
| first_indexed | 2024-12-11T20:10:09Z |
| format | Article |
| id | doaj.art-309140066d4c47c0b27762ead1fef70b |
| institution | Directory Open Access Journal |
| issn | 2084-8404 2451-070X |
| language | English |
| last_indexed | 2024-12-11T20:10:09Z |
| publishDate | 2013-03-01 |
| publisher | Sciendo |
| record_format | Article |
| series | Journal of Ultrasonography |
| spelling | doaj.art-309140066d4c47c0b27762ead1fef70b2022-12-22T00:52:18ZengSciendoJournal of Ultrasonography2084-84042451-070X2013-03-011352104110Ultrasound diagnosis of pulmonary sling with proximal stenosis of left pulmonary artery and patent arterial ductWojciech Mądry0Maciej A. Karolczak1II Katedra i Klinika Kardiochirurgii i Chirurgii Ogólnej Dzieci, Warszawski Uniwersytet Medyczny, Warszawa, PolskaII Katedra i Klinika Kardiochirurgii i Chirurgii Ogólnej Dzieci, Warszawski Uniwersytet Medyczny, Warszawa, PolskaAuthors discuss methods of echocardiographic diagnosis of the pulmonary sling with stenosis and hypoplasia of the left pulmonary artery and patent arterial duct with massive left‑to‑right shunt, based on a case of the newborn with resistant to treatment heart failure, with initial diagnosis of patent ductus arteriosus, referred to surgical treatment. The optimal echocardiographic views permitting establish diagnosis of the pulmonary sling were suggested. The special attention was paid to high parasternal and suprasternal views visualizing vessels of the upper mediastinum as well as characteristic differences between the normal and pathologic picture. The typical features of the echocardiogram suggesting pulmonary sling, like the lack of the left pulmonary artery in its expected position, and the abnormal branching pattern of the right pulmonary artery were indicated. The greatest diagnostic difficulties in visualization of the abnormal route of the left pulmonary artery were related to the presence of air‑containing tissues, like lungs and central airways between the ultrasound probe and area of interest. The other was the masking influence of the large patent arterial duct, that may mimic the left pulmonary artery arising from the pulmonary trunk. The other entities requiring differentiation with sling, like aplasia of the left lung, the direct or indirect aortic origin of the left pulmonary artery, were discussed. The role of other visualization technics, like computed 3D tomography, and magnetic nuclear resonance, as well as direct visualization of central airways with bronchoscopy in establishing precise diagnosis were stressed.http://jultrason.pl/index.php/issues/volume-13-no-52/ultrasound-diagnosis-of-pulmonary-sling-with-proximal-stenosis-of-left-pulmonary-artery-and-patent-arterial-duct?aid=122pulmonary slingechocardiographyhigh parasternal echocardiographic viewsleft pulmonary artery stenosispersistent ductus arteriosus |
| spellingShingle | Wojciech Mądry Maciej A. Karolczak Ultrasound diagnosis of pulmonary sling with proximal stenosis of left pulmonary artery and patent arterial duct Journal of Ultrasonography pulmonary sling echocardiography high parasternal echocardiographic views left pulmonary artery stenosis persistent ductus arteriosus |
| title | Ultrasound diagnosis of pulmonary sling with proximal stenosis of left pulmonary artery and patent arterial duct |
| title_full | Ultrasound diagnosis of pulmonary sling with proximal stenosis of left pulmonary artery and patent arterial duct |
| title_fullStr | Ultrasound diagnosis of pulmonary sling with proximal stenosis of left pulmonary artery and patent arterial duct |
| title_full_unstemmed | Ultrasound diagnosis of pulmonary sling with proximal stenosis of left pulmonary artery and patent arterial duct |
| title_short | Ultrasound diagnosis of pulmonary sling with proximal stenosis of left pulmonary artery and patent arterial duct |
| title_sort | ultrasound diagnosis of pulmonary sling with proximal stenosis of left pulmonary artery and patent arterial duct |
| topic | pulmonary sling echocardiography high parasternal echocardiographic views left pulmonary artery stenosis persistent ductus arteriosus |
| url | http://jultrason.pl/index.php/issues/volume-13-no-52/ultrasound-diagnosis-of-pulmonary-sling-with-proximal-stenosis-of-left-pulmonary-artery-and-patent-arterial-duct?aid=122 |
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