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 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.
Frischer
T
T
University Childrens Hospital, Department of Cardiology, University of Vienna, Währingergürtel 18-20,A-1090 Vienna, Austria.
Holomanova
I
I
Frenzel
K
K
Wollenek
G
G
Wimmer
M
M
D001980:Bronchi / Q000002:abnormalities; D001999:Bronchoscopy; D006328:Cardiac Catheterization; D000013:Congenital Abnormalities / Q000473:pathology / Q000601:surgery; D004374:Ductus Arteriosus, Patent / Q000150:complications / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D014135:Tracheal Stenosis / Q000209:etiology