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Pulmonary artery sling in preschool patient with airway compromise
M Alejandra Monroy-Cárdenas1, Ricardo Hernández-Sarmiento2, Oscar U Barón-Puentes3
1Universidad de La Sabana. Fundación Cardioinfantil, Bogotá, Colombia.
Insights
Left pulmonary artery sling, a rare congenital defect, can cause airway compromise. Surgical repair in a preschool patient led to a favorable outcome and improved airway function, demonstrating effective treatment for this condition.
Area of Science:
- Cardiology
- Thoracic Surgery
- Pediatric Surgery
Background:
- Left pulmonary artery sling is a rare congenital anomaly where the left pulmonary artery arises abnormally from the right pulmonary artery.
- This condition can lead to variable clinical manifestations, including airway compromise, esophageal compression, and associated cardiac defects.
- Surgical intervention is the primary treatment, with advancements leading to reduced morbidity and mortality.
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.
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