2019, Number 5
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Bol Med Hosp Infant Mex 2019; 76 (5)
Pulmonary artery sling in preschool patient with airway compromise
Monroy-Cárdenas MA, Hernández-Sarmiento R, Barón-Puentes OU
Language: Spanish
References: 16
Page: 193-197
PDF size: 201.59 Kb.
ABSTRACT
Background: Left pulmonary artery sling is a rare congenital malformation of the aortic arch in which this artery originates
from the right pulmonary artery and courses over the trachea and the esophagus. Clinical manifestations vary depending on
the degree of airway compromise, the esophagus and associated cardiac anomalies. The treatment for this malformation is
surgical; over the years, this approach has improved, achieving a decrease in morbidity and mortality in this condition.
Case report: A preschool patient with incidental finding of sling of the left pulmonary artery with compromise of the airway
is presented.
Conclusions: After the surgical procedure, a favorable clinical outcome was observed and a significant improvement
in the airway was shown by a fibrobronchoscopy, without any additional intervention.
REFERENCES
Domènech AB, López J, Rodríguez P, Serrano F, Fernández B, Gutiérrez C, et al. Anillos vasculares, nuestra experiencia en 18 casos. Cir Pediatr. 2014;27:110-6.
Tola H, Ozturk E, Yildiz O, Erek E, Haydin S, Turkvatan A, et al. Assessment of children with vascular ring. Pediatr Int. 2017;59:134-40.
Gikonyo BM, Jue KL, Edwards JE. Pulmonary vascular sling: report of seven cases and review of the literature. Pediatr Cardiol. 1989;10:81-8.
Javia L, Harris MA, Fuller S. Rings, slings, and other tracheal disorders in the neonate. Semin Fetal Neonatal Med. 2016;21:277-84.
Berdon WE, Baker DH, Wung J-T, Chrispin A, Kozlowski K, de Silva M, et al. Complete cartilage-ring tracheal stenosis associated with anomalous left pulmonary artery: the ring-sling complex. Radiology. 1984;152:57-64.
Sánchez Pérez R, Rey Lois J, Polo López L, Aroca Peinado Á, González Rocafort Á, Pérez González R, et al. Anillos vasculares y compresión traqueo-esofágica: 15 años de experiencia quirúrgica. Cir Cardiovasc. 2016;23:119-24.
Andrés AS, Carrasco-Moreno JI. Anillos vasculares y slings [Internet]. Sección de Cardiología Pediátrica. Valencia: Hospital Infantil Universitario La Fe, Valencia. Disponible en: http://www.lisandrobenmaor.com/archivos/33.pdf.
Bueno J, Flors L, Mejía M. Anomalías congénitas de las arterias pulmonares: espectro de hallazgos en tomografía computarizada. Radiología. 2017;59:181-270.
Lin JH, Chen SJ, Wu MH, Wang JK, Li YW, Lue HC. Right lung agenesis with left pulmonary artery sling. Pediatr Pulmonol. 2000;29:239-41.
Collell R, Marimón C, Montero M. Sling parcial de la arteria pulmonar izquierda. Rev Esp Cardiol. 2010;63:850.
Xie J, Juan YH, Wang Q, Chen J, Zhuang J, Xie Z, et al. Evaluation of left pulmonary artery sling, associated cardiovascular anomalies, and surgical outcomes using cardiovascular computed tomography angiography. Sci Rep. 2017;7:40042.
Backer CL, Mongé MC, Popescu AR, Eltayeb OM, Rastatter JC, Rigsby CK. Vascular rings. Semin Pediatr Surg. 2016;25:165-75.
Newman B, Cho Ya. Left pulmonary artery sling–anatomy and imaging. Semin Ultrasound CT MRI. 2010;31:158-70.
Collins RT, Weinberg PM, Ewing S, Fogel M. Pulmonary artery sling in an asymptomatic 15-year-old boy. Circulation. 2008;117:2403-6.
Backer CL, Russell HM, Kaushal S, Rastatter JC, Rigsby CK, Holinger LD. Pulmonary artery sling: current results with cardiopulmonary bypass. J Thorac Cardiovasc Surg. 2012;143:144-51.
Yong MS, d’Udekem Y, Brizard CP, Robertson T, Robertson CF, Weintraub R, et al. Surgical management of pulmonary artery sling in children. J Thorac Cardiovasc Surg. 2013;145:1033-9.