An adult case of pulmonary sling with complete tracheal ring

Pulmonary sling is a rare congenital condition in which the left pulmonary artery arises from the right pulmonary artery forming a sling around the trachea causing tracheal compression. Many cases are associated with cardiovascular and tracheo-bronchial anomalies. When combined with complete tracheal ring, it is called "ring-sling complex". The average onset of symptoms is 2 months and about half have symptoms from birth. The anomaly, if not corrected, can be fatal within the first year of life. In an adult, it is most often asymptomatic and usually found incidentally. We report an adult case who was diagnosed as pulmonary sling with complete tracheal ring by CT and bronchoscopy along with a literature review.