Preoperative evaluation of the trachea in a child with pulmonary artery sling using 3-dimensional computed tomographic imaging and virtual bronchoscopy.
Pulmonary artery sling is frequently accompanied by tracheal anomalies other than local compression, including focal/segmental or extensive stenosis (ring-sling complex). Recent advances in computed tomography technology, such as multidetector computed tomography with 3-dimensional imaging (3-D) and virtual bronchoscopy (VB), offer important and accurate information of the entire tracheobronchial tree. We report on the value of 3-D imaging and VB in the preoperative assessment of a 4-year-old child with pulmonary artery sling and long segment tracheal stenosis owing to complete cartilaginous rings; we suggest that 3-D imaging and VB are important contributions in this assessment.
Kagadis
George C
GC
Department of Medical Physics, School of Medicine, University of Patras, GR 26500 Rio, Greece.
Panagiotopoulou
Eugenia C
EC
Priftis
Kostas N
KN
Vaos
George
G
Nikiforidis
George C
GC
Anthracopoulos
Michael B
MB
D001999:Bronchoscopy; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D005336:Fiber Optic Technology; D006801:Humans; D021621:Imaging, Three-Dimensional; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014132:Trachea / Q000002:abnormalities* / Q000601:surgery; D014584:User-Computer Interface