Pulmonary artery sling—a case report

Mallikarjun, Divya; Dixit, Mahadev; Bhat, Seetharama Padebettu Subramanya

doi:10.1007/s12055-017-0537-7

Cited by 1 publication

(5 citation statements)

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“…Most patients with pulmonary artery sling present in early infancy with stridor and signs of respiratory distress. Other clinical manifestations may include dysphagia (which is not much common) due to compression of the esophagus, failure to thrive, and recurrent chest infections [4]. In some reports, pulmonary artery sling remained asymptomatic until childhood [14].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…To manage pulmonary artery sling, surgical repair is the treatment of choice [4]. Two treatment approaches are present which depend on the presence and degree of tracheal stenosis and any other associated cardiac anomalies [4]. Surgery is usually performed either with a median sternotomy followed by cardiopulmonary bypass and left pulmonary artery re-implantation (which was the technique employed in our patient) [6] or thoracotomy without cardiopulmonary bypass [4], resulting in uniformly patent left pulmonary arteries.…”

Section: Discussionmentioning

confidence: 99%

“…Two treatment approaches are present which depend on the presence and degree of tracheal stenosis and any other associated cardiac anomalies [4]. Surgery is usually performed either with a median sternotomy followed by cardiopulmonary bypass and left pulmonary artery re-implantation (which was the technique employed in our patient) [6] or thoracotomy without cardiopulmonary bypass [4], resulting in uniformly patent left pulmonary arteries. In general, the need for tracheal surgery stratifies patients into those with a good vs. bad prognosis, where reports show that patients with pulmonary artery sling who do not require tracheal surgery have favorable clinical outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…Indeed, when a sling compresses the trachea, it may produce obstructive emphysema, atelectasis of the right and left lungs, or both [3]. The prevalence of pulmonary artery sling is estimated to occur in one in every 17,000 school-aged children, while no data have been so far published concerning incidence and prevalence of pulmonary sling among infants [4].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Early Diagnosis of Left Pulmonary Artery Sling During First Week of Life in a Term Baby Boy: A Case Report

Kayal

Minkara

Tleiss

2020

Cureus

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Pulmonary artery sling is a rare cause of neonatal respiratory distress. Most patients with pulmonary artery sling present in early infancy with stridor and signs of respiratory distress. Diagnosis of pulmonary artery sling, like other vascular ring anomalies, can be made using various imaging modalities, and management encompasses urgent surgical repair as a definitive treatment. This is the first paper to report a successfully managed case of an early detected left pulmonary artery sling during the first week of life in a term male patient and to evaluate the diagnostic characteristics in alliance with it. CAse REports (CARE) guidelines were followed for reporting our case. In brief, a case of full-term baby boy was born by normal vaginal delivery and shortly after birth, the baby started to have respiratory distress not improving on O 2. Chest X-ray revealed right upper lobe atelectasis which persisted despite mechanical ventilation and antibiotics. A thoracic CT scan showed developmental malformation of left main pulmonary artery, confirming the diagnosis of "left pulmonary artery sling." The baby was immediately operated. One week later, chest X-ray showed gradual improvement and the baby was discharged home with no postoperative complications. Hence, we suggest that pulmonary artery sling should be suspected in any neonate with respiratory distress and unilateral lung field opacification. The fact that there are only very few reports on this disease raises a need to establish and implement well-defined guidelines and criteria for early diagnosis and management of pulmonary artery sling among newborns.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%