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Tracheal approach to pulmonary artery sling associated with funnel-shaped tracheal stenosis
1Department of Cardiothoracic Surgery, Royal Brompton National Heart and Lung Hospital, London, UK.
Abstract:
Pulmonary artery sling with concomitant funnel-shaped tracheal stenosis is a rare but potentially lethal congenital condition. Conventional surgical division and reanastomosis of the aberrant left pulmonary artery to the main pulmonary artery carries a high risk of postoperative ventilatory difficulty from an uncorrected tracheal stenosis. A primary tracheal approach via a right thoracotomy without pulmonary bypass is described.