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Published on: September 5, 2011

Pulmonary artery sling in identical twins--report of two cases

S Westaby, R Dinwiddie, A Chrispin

    The Thoracic and Cardiovascular Surgeon
    |June 1, 1984
    PubMed

    Insights

    Pulmonary artery sling, a rare congenital condition, can be effectively treated by surgically rejoining the left pulmonary artery. This procedure ensures long-term blood flow to the lungs, as confirmed by lung perfusion scans in young patients.

    Area of Science:

    • Cardiovascular Surgery
    • Pediatric Cardiology
    • Thoracic Surgery

    Background:

    • Pulmonary artery sling is a rare congenital anomaly where the left pulmonary artery arises anomalously from the right pulmonary artery, compressing the trachea.
    • Surgical correction involves division and reimplantation of the aberrant left pulmonary artery.

    Observation:

    • The study reports on the successful surgical treatment of pulmonary artery sling in identical twins.
    • Long-term follow-up included lung perfusion scans to assess the patency of the repaired artery.

    Findings:

    • Division and reimplantation of the left pulmonary artery resulted in successful long-term patency in both identical twins.
    • Lung perfusion scans confirmed sustained blood flow in the reimplanted pulmonary artery in all six operated children.

    Implications:

    • Early surgical intervention for pulmonary artery sling is recommended for optimal outcomes.
    • Successful surgical repair offers a favorable long-term prognosis for patients with this congenital heart defect.

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