Pulmonary sling in the adult

Hatten, H P; Lorman, JG; Hd, Rosenbaum

doi:10.2214/ajr.128.6.919

Cited by 15 publications

(6 citation statements)

References 6 publications

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“…Hatten et al (20) report an asymptomatic 45-year-old man whose sling was an incidental finding on a chest radiograph obtained for other indications. Hatten et al (20) report an asymptomatic 45-year-old man whose sling was an incidental finding on a chest radiograph obtained for other indications.…”

Section: Anomalous Origin Of the Left Pulmonary Artery From The Rightmentioning

confidence: 99%

Developmental Lung Anomalies in the Adult: Radiologic-Pathologic Correlation

Zylak¹,

Eyler²,

Spizarny³

et al. 2002

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Encountering a developmental lung anomaly in the adult can be a challenge, as the abnormality may be mistaken for something more sinister. The common anomalies encountered are classified into three broad categories: bronchopulmonary (lung bud) anomalies, vascular anomalies, and combined lung and vascular anomalies. The imaging features of these developmental anomalies at conventional radiography, ventilation-perfusion lung nuclear scanning, angiography, computed tomography, and magnetic resonance imaging are useful in differential diagnosis of thoracic lesions. Lung bud anomalies include agenesis, congenital bronchial atresia, congenital lobar emphysema, congenital cystic adenomatoid malformation, pulmonary bronchogenic cysts, tracheal or pig bronchus, and accessory cardiac bronchus. Vascular anomalies include interruption or absence of a main pulmonary artery, anomalous origin of the left pulmonary artery from the right, anomalous pulmonary venous drainage (partial or complete), and pulmonary arteriovenous malformation. Combined lung and vascular anomalies include the hypogenetic lung (scimitar) syndrome and bronchopulmonary sequestration, both intralobar and extralobar.

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Section: Anomalous Origin Of the Left Pulmonary Artery From The Rightmentioning

confidence: 99%

Developmental Lung Anomalies in the Adult: Radiologic-Pathologic Correlation

Zylak¹,

Eyler²,

Spizarny³

et al. 2002

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225

108

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“…Based upon the presence or absence of major airway obstruction with or without associated congenital cardiac malformations, a comprehensive classification has been proposed [28] Vascular sling without tracheobronchial tree obstruction would include the adult cases [13,22,30,37,64] in which the malformation was incidently discovered during evaluation for an abnormal thoracic roentgenogram or by an esophagram performed for a gastrointestinal disorder. Rarely have cases in the pediatric age groups been recognized without respiratory obstructive symptoms.…”

Section: Commentmentioning

confidence: 99%

“…Potts and coworkers [51] devised an operative procedure for correction of the anomaly, but, in spite of successful surgical correction, mortality and morbidity are high postoperatively and appear to be related to underlying tracheobronchial abnormalities [57]. The arterial anomaly, nevertheless, in some cases is compatible with asymptomatic long-term survival as reported in six adult cases [13,22,30,37,64].…”

mentioning

confidence: 99%

Pulmonary vascular sling: Report of seven cases and review of the literature

1989

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A total of 130 cases of pulmonary vascular sling, including seven new cases in our collection, were studied. The sex distribution was 60% male and 40% female. The age at presentation was in the first year of life in approximately 90% of cases. Barium-esophagraphy showing anterior indentation was diagnostic in most of the cases. Bronchoscopy and tracheobronchography were useful in detecting associated tracheobronchial anomalies preoperatively. The analysis of 68 autopsied cases revealed associated tracheobronchial anomalies in 40% of the cases. Anomalies of the tracheobronchial tree took three major forms: abnormal distribution of cartilage in the walls of the trachea and major bronchi, intrinsic stenosis, and abnormal branching, the latter being that of bronchus suis. Acquired changes secondary in the sling resulted in compression of the major respiratory pathway by the anomalous left pulmonary artery. Major associated cardiovascular anomalies were present in 30% of the cases. These were represented by ventricular septal defect, atrial septal defect, patent ductus arteriosus, tetralogy of Fallot, common ventricle, and coarctation of the aorta.

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“…The plain radiographic features include unequal aeration due to compression of the right main bronchus by the anomalous vessel, low carina, horizontal equal-length right and left mainstem bronchi and long-segment tracheal stenosis. Pulsating mass compressing esophagus can be visualized on fluoroscopy with barium esophagography 9 ) . Most common finding in an asymptomatic adult is a right mediastinal mass.…”

Section: Disscussionmentioning

confidence: 99%

Case Report : An Adult Case of Pulmonary Sling with Complete Tracheal Ring

Lee

Kim

Lee

et al. 1996

Korean J Intern Med

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Pulmonary sling is a rare congenital condition in which the left pulmonary artery arises from the right pulmonary artery forming a sling around the trachea causing tracheal compression. Many cases are associated with cardiovascular and tracheo-bronchial anomalies. When combined with complete tracheal ring, it is called “ring-sling complex”. The average onset of symptoms is 2 months and about half have symptoms from birth. The anomaly, if not corrected, can be fatal within the first year of life. In an adult, it is most often asymptomatic and usually found incidentally. We report an adult case who was diagnosed as pulmonary sling with complete tracheal ring by CT and bronchoscopy along with a literature review.

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Pulmonary sling in the adult

Cited by 15 publications

References 6 publications

Developmental Lung Anomalies in the Adult: Radiologic-Pathologic Correlation

Developmental Lung Anomalies in the Adult: Radiologic-Pathologic Correlation

Pulmonary vascular sling: Report of seven cases and review of the literature

Case Report : An Adult Case of Pulmonary Sling with Complete Tracheal Ring

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