Therapeutic strategy in a 9-month-old child with pulmonary sling: need for bronchoscopic evaluation

A 9-month-old child presented suffering from repeated severe infections of the lower respiratory tract. Bronchoscopy revealed a tracheal stenosis, suggestive of a vascular anomaly of the great arteries. A second significant stenosis of the left main stem bronchus was observed that was suspected to b...

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Bibliographic Details
Published in:Pediatric cardiology 1996-05, Vol.17 (3), p.201-203
Main Authors: Frischer, T, Holomanova, I, Frenzel, K, Wollenek, G, Wimmer, M
Format: Article
Language:English
Subjects:
Bronchi - abnormalities
Bronchoscopy
Cardiac Catheterization
Congenital Abnormalities - pathology
Congenital Abnormalities - surgery
Ductus Arteriosus, Patent - complications
Ductus Arteriosus, Patent - surgery
Humans
Infant
Male
Pulmonary Artery - abnormalities
Pulmonary Artery - diagnostic imaging
Pulmonary Artery - surgery
Radiography
Tracheal Stenosis - etiology
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Description
Summary:A 9-month-old child presented suffering from repeated severe infections of the lower respiratory tract. Bronchoscopy revealed a tracheal stenosis, suggestive of a vascular anomaly of the great arteries. A second significant stenosis of the left main stem bronchus was observed that was suspected to be due to a ligamentum arteriosum. Heart catheterization confirmed the diagnosis of an abnormal origin of the left pulmonary artery (pulmonary sling). Based on the bronchoscopic and angiographic findings a pulmonary ring was suspected. A dissection of the ligamentum arteriosum was performed. At readmission 4 weeks postoperatively the child was asymptomatic and the left main bronchus was patent.
ISSN:0172-0643
1432-1971
DOI:10.1007/BF02505216