Repair of pulmonary artery sling by reimplantation without cardiopulmonary bypass.
A 20-month-old girl successfully underwent repair of pulmonary artery sling through a median sternotomy by division of the left pulmonary artery and its reimplantation into the main pulmonary artery without cardiopulmonary bypass or tracheal reconstruction. The patient is doing well on 18 months follow-up with unobstructed pulmonary blood flow and dramatic reduction of tracheal stenosis. Simple repair of pulmonary artery sling is feasible with good results in selected cases without tracheomalacia.
Department of Pediatric Cardiac Surgery, Monaldi Hospital, University of Naples, Italy. stefconte@yahoo.com
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S
Conte
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Farina
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G
Caianello
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G
Palma
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C
Pisacane
N
N
Mansi
C
C
Vosa
D000015:Abnormalities, Multiple / Q000601:surgery*; D001999:Bronchoscopy; D006328:Cardiac Catheterization; D002315:Cardiopulmonary Bypass; D003937:Diagnosis, Differential; D004452:Echocardiography; D005260:Female; D005764:Gastroesophageal Reflux / Q000175:diagnosis; D006330:Heart Defects, Congenital / Q000601:surgery; D006801:Humans; D007223:Infant; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery*; D012092:Replantation; D014135:Tracheal Stenosis / Q000175:diagnosis / Q000601:surgery