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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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Published in: | Pediatric cardiology 1996-05, Vol.17 (3), p.201-203 |
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container_title | Pediatric cardiology |
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creator | Frischer, T Holomanova, I Frenzel, K Wollenek, G Wimmer, M |
description | 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. |
doi_str_mv | 10.1007/BF02505216 |
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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. 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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.</description><subject>Bronchi - abnormalities</subject><subject>Bronchoscopy</subject><subject>Cardiac Catheterization</subject><subject>Congenital Abnormalities - pathology</subject><subject>Congenital Abnormalities - surgery</subject><subject>Ductus Arteriosus, Patent - complications</subject><subject>Ductus Arteriosus, Patent - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Pulmonary Artery - abnormalities</subject><subject>Pulmonary Artery - diagnostic imaging</subject><subject>Pulmonary Artery - surgery</subject><subject>Radiography</subject><subject>Tracheal Stenosis - etiology</subject><issn>0172-0643</issn><issn>1432-1971</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><recordid>eNpFkE1LxDAQhoMo67p68S7k5EGo5qNNE2-6uCoseFnPJU0n20rb1CRV9t9b2UUv78DMwwvzIHRJyS0lJL97XBGWkYxRcYTmNOUsoSqnx2hOaM4SIlJ-is5C-CCESCKzGZpJIRjhao7MpgavBxhjY3CIXkfY7nDTY41V0rk-1olrK2zqZsrvJtZ4GNtpr_0Oh7bpt_e4B6iwdR6X3vWmdsG4YSqDL92OOjauP0cnVrcBLg5zgd5XT5vlS7J-e35dPqwTwySLiSDSCsskp3lpMg5WiRRynRqpeEpMxvLKqMyCraaLojYFyqnIlCpTUlZG8AW63vcO3n2OEGLRNcFA2-oe3BiKXFLO1BQLdLMHjXcheLDF4JtueqmgpPg1WvwbneCrQ-tYdlD9oQeF_AcLgHEB</recordid><startdate>19960501</startdate><enddate>19960501</enddate><creator>Frischer, T</creator><creator>Holomanova, I</creator><creator>Frenzel, K</creator><creator>Wollenek, G</creator><creator>Wimmer, M</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19960501</creationdate><title>Therapeutic strategy in a 9-month-old child with pulmonary sling: need for bronchoscopic evaluation</title><author>Frischer, T ; Holomanova, I ; Frenzel, K ; Wollenek, G ; Wimmer, M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c282t-608f6f28317bc53ef964e7a4c89340c527dc95fefdf9691f4e1316599b40bdc63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Bronchi - abnormalities</topic><topic>Bronchoscopy</topic><topic>Cardiac Catheterization</topic><topic>Congenital Abnormalities - pathology</topic><topic>Congenital Abnormalities - surgery</topic><topic>Ductus Arteriosus, Patent - complications</topic><topic>Ductus Arteriosus, Patent - surgery</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Pulmonary Artery - abnormalities</topic><topic>Pulmonary Artery - diagnostic imaging</topic><topic>Pulmonary Artery - surgery</topic><topic>Radiography</topic><topic>Tracheal Stenosis - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Frischer, T</creatorcontrib><creatorcontrib>Holomanova, I</creatorcontrib><creatorcontrib>Frenzel, K</creatorcontrib><creatorcontrib>Wollenek, G</creatorcontrib><creatorcontrib>Wimmer, M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Frischer, T</au><au>Holomanova, I</au><au>Frenzel, K</au><au>Wollenek, G</au><au>Wimmer, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Therapeutic strategy in a 9-month-old child with pulmonary sling: need for bronchoscopic evaluation</atitle><jtitle>Pediatric cardiology</jtitle><addtitle>Pediatr Cardiol</addtitle><date>1996-05-01</date><risdate>1996</risdate><volume>17</volume><issue>3</issue><spage>201</spage><epage>203</epage><pages>201-203</pages><issn>0172-0643</issn><eissn>1432-1971</eissn><abstract>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.</abstract><cop>United States</cop><pmid>8662039</pmid><doi>10.1007/BF02505216</doi><tpages>3</tpages></addata></record> |
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issn | 0172-0643 1432-1971 |
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source | Springer Online Journal Archives |
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 |
title | Therapeutic strategy in a 9-month-old child with pulmonary sling: need for bronchoscopic evaluation |
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