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Related Concept Videos

Fetal Circulation01:14

Fetal Circulation

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Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
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The Perinatal Asphyxiated Lamb Model: A Model for Newborn Resuscitation
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Pulmonary artery sling in a symptomatic newborn.

İlker Mercan1, Muhammet Akyuz1, Onur Işık1

  • 1Department of Pediatric Heart Surgery, University of Health Sciences Tepecik Training and Research Hospital, Izmir, Turkey.

Journal of Cardiovascular and Thoracic Research
|October 11, 2021
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Summary

Pulmonary arterial sling (PAS) is a rare congenital defect causing airway obstruction and respiratory distress in neonates. Surgical correction via left pulmonary artery reimplantation offers a successful treatment option.

Keywords:
Airway ObstructionPulmonary Arterial SlingSurgery

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Area of Science:

  • Cardiology
  • Pediatric Surgery
  • Thoracic Surgery

Background:

  • Pulmonary arterial sling (PAS) is a rare congenital anomaly characterized by an aberrant origin of the left pulmonary artery from the right pulmonary artery.
  • This anatomical variation can lead to extrinsic compression of the tracheobronchial tree, causing significant respiratory symptoms.

Observation:

  • This report details a case of PAS in a neonate presenting with progressive respiratory distress in the second week of life.
  • The neonate exhibited symptoms indicative of airway obstruction due to the congenital anomaly.

Findings:

  • Surgical correction was performed at 25 days of age, involving the reimplantation of the left pulmonary artery to the main pulmonary artery.
  • The procedure was successfully completed without the use of cardiopulmonary bypass, minimizing surgical risks.

Implications:

  • This case highlights the successful surgical management of pulmonary arterial sling in a neonate.
  • Reimplantation without cardiopulmonary bypass presents a viable and effective surgical strategy for this rare condition, leading to favorable outcomes.