Pulmonary artery sling

Introduction: Pulmonary artery sling is a rare congenital vascular anomaly in which the left pulmonary artery originates from the right pulmonary artery, encircles the distal trachea and right main stem bronchus, and requiring early surgical interventions. Case presentation: We report a 8-month old...

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Main Authors: Son Bui Binh Bao, Tuan Thai Viet, Phu Nguyen Manh, Hoa Nguyen Thi Kim
Format: Article
Language:English
Published: Elsevier 2020-12-01
Series:Journal of Pediatric Surgery Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213576620302918
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author Son Bui Binh Bao
Tuan Thai Viet
Phu Nguyen Manh
Hoa Nguyen Thi Kim
author_facet Son Bui Binh Bao
Tuan Thai Viet
Phu Nguyen Manh
Hoa Nguyen Thi Kim
author_sort Son Bui Binh Bao
collection DOAJ
description Introduction: Pulmonary artery sling is a rare congenital vascular anomaly in which the left pulmonary artery originates from the right pulmonary artery, encircles the distal trachea and right main stem bronchus, and requiring early surgical interventions. Case presentation: We report a 8-month old girl who presented with 3 consecutive episodes within 2 months of recurrent respiratory symptoms and signs masquerading pneumonia. CT thorax and echocardiography showed an anomalous origin of the left pulmonary artery from the right pulmonary artery passing behind the trachea. A left pulmonary artery reimplantation without tracheoplasty was performed. The child recovered slowly but uneventfully after surgery, and was discharged home in good health after 2-month-stay in the hospital. Conclusion: Although rare, pulmonary artery sling should not be overlooked in the differential diagnosis of children with recurrent respiratory symptoms. Prognosis after surgical repair without tracheoplasty seems to be good, and follow-up needs to be done routinely to identify the long-term consequences.
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spelling doaj.art-fcd28ddb4d144145b5a899a67c071ea32022-12-21T17:59:18ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662020-12-0163101657Pulmonary artery slingSon Bui Binh Bao0Tuan Thai Viet1Phu Nguyen Manh2Hoa Nguyen Thi Kim3Department of Pediatrics, Hue University of Medicine and Pharmacy, Viet Nam; Pediatric Center, Hue Central Hospital, Viet Nam; Corresponding author. Department of Pediatrics, Hue University of Medicine and Pharmacy, 6 Ngo Quyen street, Hue city, Viet Nam.Cardiovascular Center, Hue Central Hospital, Viet NamPediatric Center, Hue Central Hospital, Viet NamPediatric Center, Hue Central Hospital, Viet NamIntroduction: Pulmonary artery sling is a rare congenital vascular anomaly in which the left pulmonary artery originates from the right pulmonary artery, encircles the distal trachea and right main stem bronchus, and requiring early surgical interventions. Case presentation: We report a 8-month old girl who presented with 3 consecutive episodes within 2 months of recurrent respiratory symptoms and signs masquerading pneumonia. CT thorax and echocardiography showed an anomalous origin of the left pulmonary artery from the right pulmonary artery passing behind the trachea. A left pulmonary artery reimplantation without tracheoplasty was performed. The child recovered slowly but uneventfully after surgery, and was discharged home in good health after 2-month-stay in the hospital. Conclusion: Although rare, pulmonary artery sling should not be overlooked in the differential diagnosis of children with recurrent respiratory symptoms. Prognosis after surgical repair without tracheoplasty seems to be good, and follow-up needs to be done routinely to identify the long-term consequences.http://www.sciencedirect.com/science/article/pii/S2213576620302918Pulmonary artery slingInfants
spellingShingle Son Bui Binh Bao
Tuan Thai Viet
Phu Nguyen Manh
Hoa Nguyen Thi Kim
Pulmonary artery sling
Journal of Pediatric Surgery Case Reports
Pulmonary artery sling
Infants
title Pulmonary artery sling
title_full Pulmonary artery sling
title_fullStr Pulmonary artery sling
title_full_unstemmed Pulmonary artery sling
title_short Pulmonary artery sling
title_sort pulmonary artery sling
topic Pulmonary artery sling
Infants
url http://www.sciencedirect.com/science/article/pii/S2213576620302918
work_keys_str_mv AT sonbuibinhbao pulmonaryarterysling
AT tuanthaiviet pulmonaryarterysling
AT phunguyenmanh pulmonaryarterysling
AT hoanguyenthikim pulmonaryarterysling