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Pulmonary artery sling

C H Gumbiner, C E Mullins, D G McNamara

    The American Journal of Cardiology
    |February 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Pulmonary artery sling is a rare vascular anomaly causing airway compression. Surgical outcomes for this condition can be poor, necessitating careful patient management.

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    Area of Science:

    • Cardiovascular Surgery
    • Pediatric Pulmonology
    • Thoracic Radiology

    Background:

    • Pulmonary artery sling is a rare congenital vascular anomaly.
    • The left pulmonary artery originates abnormally from the right pulmonary artery, crossing between the trachea and esophagus.
    • This anomaly can cause significant respiratory symptoms due to extrinsic airway compression.

    Purpose of the Study:

    • To describe the clinical and radiological features of pulmonary artery sling.
    • To review the management and outcomes of affected patients.

    Main Methods:

    • Case series describing six patients with pulmonary artery sling.
    • Radiological evaluation included barium esophagography and pulmonary angiography.
    • Surgical intervention was considered for airway obstruction.

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    Main Results:

    • Respiratory symptoms were attributed to tracheobronchial compression by the anomalous vessel.
    • Distinctive radiological findings included anterior esophageal indentation and characteristic angiographic patterns.
    • Surgical treatment for severe airway obstruction yielded suboptimal results.

    Conclusions:

    • Pulmonary artery sling presents with characteristic radiological findings.
    • Management requires consideration of associated cardiac and airway defects.
    • Treatment outcomes, particularly surgical, may be limited, especially in severe cases.