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Case Report: Surgical correction of pulmonary artery sling causing tracheal obstruction in infancy: rapid and
Hüseyin Sicim1, Daniel A Velez1, Mohamad Alaeddine1
1Department of Congenital Cardiac Surgery, Phoenix Children's Hospital, Phoenix, AZ, United States.
Insights
Pulmonary artery sling (PAS) is a rare congenital defect causing airway compression. Surgical repair involving left pulmonary artery transection and reimplantation provided rapid symptom relief in a pediatric patient.
Area of Science:
- Cardiovascular Surgery
- Pediatric Cardiology
- Thoracic Surgery
Background:
- Pulmonary artery sling (PAS) is a rare congenital anomaly.
- It involves abnormal origin of the left pulmonary artery (LPA) from the right pulmonary artery (RPA).
- This anatomical variation can cause significant tracheobronchial compression.
Abstract:
Pulmonary artery sling (PAS) is an uncommon congenital anomaly in which the left pulmonary artery (LPA) originates abnormally from the posterior aspect of the right pulmonary artery (RPA). The LPA then traverses between the trachea and esophagus, resulting in compression of the lower trachea. This compression can lead to respiratory symptoms, including wheezing and stridor, and in some cases, airway obstruction. In addition, bronchial compression-commonly affecting the right bronchus-can result in air trapping, pneumonia, and atelectasis. In this report, we present postoperative rapid relief of a symptomatic case in which LPA transection and reimplantation to the main pulmonary artery were performed successfully on cardiopulmonary bypass.
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