The pulmonary sling is the origin of the left pulmonary artery from the right one, this is a rare abnormality giving a marked clinical picture. The paper presents a case of solely rare combination of the pulmonary of the pulmonary sling with abnormal cardiac placement--dextroversion. A three-year-old child underwent explorative thoracotomy for erroneously diagnosed mediastinal cyst. The thoracotomy revealed a suspected pulmonary sling. To make an accurate diagnosis, a comprehensive study (chest X-ray with esophageal contrasting, tracheobronchography, echocardiography, digital subtraction angiography) was performed. Echocardiography clearly showed the absence of bifurcation of the pulmonary trunk and the origin of the left pulmonary artery from the right one proved to be most informative, as evidenced by colour Doppler mapping. The paper deals with the specific features of surgical treatment of this pathology (the patient was successfully operated on through lateral sternotomy by using extracorporeal circulation). The good functional result of the operation was confirmed by echocardiography and angiography.
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Anomalous left pulmonary artery: case reports exploring anatomic variants.
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Article Synopsis
- The study investigates airway management techniques and demographic data of patients with congenital tracheal stenosis (CTS) during preoperative, intraoperative, and postoperative periods, based on a review of patient charts from a pediatric medical center from 2001 to 2018.
- Out of 148 patients analyzed, the majority had congenital tracheal rings as the cause of their CTS, with a median age of 9 months at surgery and most experiencing 50% to 80% stenosis.
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