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Pulmonary sling

Paola Serio, Raffaella Nenna, Valentina Fainardi, Laura Grisotto, Annibale Biggeri, Roberto Leone, Luigi Arcieri, Marco Di Maurizio, Denise Colosimo, Roberto Baggi, Bruno Murzi, Lorenzo Mirabile, Fabio Midulla
OBJECTIVES: Surgery for vascular anomalies can occasionally fail to relieve symptoms, especially when severe tracheobronchial malacia persists. We studied outcomes in children who underwent airway stenting for severe post-surgical airway malacia and tested known clinical and surgical prognostic factors. METHODS: Among 257 children evaluated for tracheobronchial vascular compression, we reviewed the clinical charts for the 59 patients (23%) who underwent surgery...
October 15, 2016: European Journal of Cardio-thoracic Surgery
Junya Nakajima, Daisuke Sunohara, Hisashi Kawashima
A neonate with severe neonatal asphyxia was treated with therapeutic hypothermia. He developed hypothermia-induced respiratory deterioration, after which congenital tracheal stenosis and pulmonary artery sling were diagnosed. Even low-grade hypothermia is likely to induce bronchial narrowing in neonates, especially in neonates with congenital respiratory tract anomalies. Congenital tracheal stenosis represents a potential pitfall in differential diagnosis and should be carefully ruled out in cases of bronchial narrowing episode induced by therapeutic hypothermia...
August 9, 2016: Pediatric Pulmonology
Hasan Tola, Erkut Ozturk, Okan Yildiz, Ersin Erek, Sertac Haydin, Aysel Turkvatan, Yakup Ergul, Alper Guzeltas, Ihsan Bakir
BACKGROUND: Vascular rings may cause pressure on the trachea and/or esophagus at varying degrees resulting in symptoms. This study assesses the presentation symptoms, diagnostic methods and treatment results of patients, who presented to our hospital due to vascular ring and were operated on. METHODS: Symptomatic vascular ring patients operated on at our clinic between January-2010 and August-2014 have been retrospectively assessed. The presentation symptoms, demographic characteristics, diagnostic tests have been evaluated...
July 25, 2016: Pediatrics International: Official Journal of the Japan Pediatric Society
Ming-Ho Wu, Han-Yun Wu
No abstract text is available yet for this article.
July 2016: Annals of Thoracic Surgery
Carl L Backer, Michael C Mongé, Andrada R Popescu, Osama M Eltayeb, Jeffrey C Rastatter, Cynthia K Rigsby
The term vascular ring refers to congenital vascular anomalies of the aortic arch system that compress the esophagus and trachea, causing symptoms related to those two structures. The most common vascular rings are double aortic arch and right aortic arch with left ligamentum. Pulmonary artery sling is rare and these patients need to be carefully evaluated for frequently associated tracheal stenosis. Another cause of tracheal compression occurring only in infants is the innominate artery compression syndrome...
June 2016: Seminars in Pediatric Surgery
Justin T Tretter, Eric M Tretter, Daniela Y Rafii, Robert H Anderson, Puneet Bhatla
Isolated anomalies of the branch pulmonary arteries are rare, more often occurring in the setting of complex congenital heart disease. These isolated anomalies are often not identified in the prenatal period. We describe two cases of isolated anomalies of the left pulmonary artery which were identified on fetal echocardiography and confirmed postnatally, an anomalous left pulmonary artery arising from the base of the left-sided brachiocephalic artery in the setting of a right-sided aortic arch, and a left pulmonary artery sling...
August 2016: Echocardiography
Yen-Chun Chao, Chun-Chin Peng, Kuo-Sheng Lee, Shan-Miao Lin, Ming-Ren Chen
OBJECTIVES: Congenital tracheobronchial stenosis (CTBS) is a rare disorder characterized by the presence of focal or diffuse complete tracheal or bronchial cartilage rings resulting in a fixed lumen narrowing. The aim of this study was to expose the association of various cardiovascular (CV) anomalies with various types of CTBS. METHODS: A retrospective review of 58 patients who had bronchoscopically proven CTBS between 1997 and 2011 was conducted. Totally, 48 cases who had received echocardiography, computed tomography and other examinations including cardiac catheterization were enrolled...
April 2016: International Journal of Pediatric Otorhinolaryngology
Yue Zang, Jie Zhou, Tao Jiang, Jing Du, Jiahui Du, Biao Lü, Zhanming Fan
OBJECTIVE: To evaluate the value of MDCT on diagnosis of congenital vascular rings on children. METHODS: Retrospective analysis on 43 cases of congenital vascular rings, which underwent MDCT during Oct 2008 to Dec 2014 in Beijing Anzhen hospital affiliated to capital medical university. 21 males, 22 females; age from 29 days to 8 years, mean age 1.46 years, 33 cases are not beyond 1 year. All the results were compared with that of the echocardiogram or record of the surgery...
September 15, 2015: Zhonghua Yi Xue za Zhi [Chinese medical journal]
David Healey, Nitin Ron, Andrew Hromada, Manoj Chhabra
Pulmonary artery sling is a very rare cause of pediatric respiratory distress. The estimated prevalence of the disease was first determined by Yu et al. in 2008 as 59 per million school-aged children. Associated symptoms are cough, wheezing, and feeding difficulty, all of which are common in routine outpatient pediatric clinical encounters. We report a case of a premature male neonate twin who was admitted to the neonatal intensive care unit with respiratory distress and pneumothorax. His presentation, as well as the etiology of his pulmonary disease, was felt to be consistent with those of numerous other premature infants...
2016: SpringerPlus
Sophie C Hofferberth, Karen Watters, Reza Rahbar, Francis Fynn-Thompson
BACKGROUND: Congenital tracheal stenosis (CTS) is a serious and rare condition that often presents a complex surgical challenge. We reviewed the evolution of surgical approaches to the management of CTS at a single institution. METHODS: We conducted a retrospective clinical review of all patients who underwent surgical repair of CTS at our institution. From January 1992 to January 2014, a total of 30 patients (median age 92 days; range 3 days-1.7 years) underwent surgery for CTS at our institution...
January 2016: World Journal for Pediatric & Congenital Heart Surgery
Petros V Anagnostopoulos, Eugene C Kenny, Amy L H Peterson, Scott A Hagen, J Scott McMurray
We present a newborn with heterotaxy features, multiple congenital anomalies, truncus arteriosus with long segment tracheal stenosis, and a left pulmonary artery sling. The patient had complete neonatal repair with slide tracheoplasty and repair of the left pulmonary artery sling with anterior translocation of the pulmonary artery. The truncus was repaired with a transventricular ventricular septal defect closure with a patch and right ventricle to pulmonary artery conduit. Complete repair of complex cardiac neonatal lesions with critical tracheal stenosis is feasible and should be the strategy of choice in these complex patients...
December 2015: Annals of Thoracic Surgery
Yoichiro Ishii, Takashi Miyamoto, Kimiko Nakajima, Kensuke Tanaka, Kentaro Ikeda, Noboru Inamura, Takeshi Takagi, Tomio Kobayashi, Hirokazu Arakawa
Left pulmonary artery sling (LPAS) is a rare vascular anomaly. The left pulmonary artery arises distally from the right pulmonary artery on the right side of the trachea and passes between the trachea and esophagus towards the left lung, compressing the lower trachea. LPAS is associated with congenital tracheal stenosis, which frequently requires early surgical intervention and has a poor prognosis due to severe airway obstruction after birth. Therefore, LPAS should be prenatally diagnosed to prepare for surgical intervention for tracheal stenosis...
February 2016: Pediatrics International: Official Journal of the Japan Pediatric Society
Tai Fuchigami, Masahiko Nishioka, Toru Akashige, Nobuhiro Nagata
The treatment of some subsets of patients having both right-sided superior vena cava (SVC) and left-sided SVC may be very challenging. We performed the SVC integration (SVCI) technique with end-to-side anastomoses between the two SVCs on 4 such patients (age, 5 to 11 months; body weight, 5.4 to 10.2 kg) with excellent outcomes. In 2 patients, we performed intrapulmonary artery septation with SVCI; in 1 patient, pulmonary artery sling repair with SVCI; and in 1 patient with supramitral stenosis related to persistent left-sided SVC, repeated Blalock-Taussig shunt (BTS) with SVCI...
September 2015: Annals of Thoracic Surgery
Min-Ling Hsieh, Li-Ting Huang, Jieh-Neng Wang, Yi-Shan Tsai
Either left pulmonary sling or single origin of right and left pulmonary arteries (only three cases reported previously) are rare congenital heart anomalies and concomitantly occurred had not been reported. The image presentation is similar to type A1 truncus arteriosus but preserved pulmonary valve and main pulmonary artery development.
November 2015: Journal of Cardiovascular Computed Tomography
Moti M Chowdhury, Subhasis Chakraborty
Congenital lung malformations are a heterogeneous group of anomalies that involve the lungs and tracheobronchial tree (congenital airway pulmonary malformation, bronchial atresia, bronchogenic cyst, congenital lobar overinflation, pulmonary cyst, hamartoma, pulmonary isomerism and azygous lobe), vascular abnormalities (arteriovenous malformations, anomalous pulmonary venous return, pulmonary artery sling, interrupted pulmonary artery, pulmonary varix, pulmonary vein stenosis and pulmonary lymphangiectasia), or frequently both entities (pulmonary sequestration, pulmonary maldevelopment and scimitar syndrome)...
August 2015: Seminars in Pediatric Surgery
Xiaoyang Hong, Gengxu Zhou, Yuhang Liu, Yingyue Liu, Hui Wang, Zhichun Feng
OBJECTIVES: Pulmonary artery sling (PA sling) is frequently associated with tracheal and/or bronchial stenosis. Most PA sling patients receive left pulmonary artery (LPA) re-implantation and tracheoplasty under the cardiopulmonary bypass, but the postoperative complications of tracheoplasty remain a great challenge. In this study, we reviewed 14 PA sling children who received surgery in our hospital, and tried to find out whether tracheoplasty could be avoided or not. METHODS: A total of 14 patients receiving surgery due to PA sling/tracheal stenosis were recruited...
2015: International Journal of Clinical and Experimental Medicine
Chiara Iacusso, Pietro Bagolan, Sergio Bottero, Andrea Conforti, Francesco Morini
INTRODUCTION: Postpneumonectomy syndrome (PPS) is an ominous complication, caused by mediastinal shift following massive lung resection. PRESENTATION OF THE CASE: A neonate with oesophageal atresia and tracheo-oesophageal fistula developed acute respiratory distress shortly after surgery, despite mechanical ventilation. The patient was found to have an associated oesophageal right lung that collapsed after oesophageal atresia repair and a left pulmonary artery sling causing left main bronchus stenosis mimicking a postpneumonectomy syndrome...
2015: International Journal of Surgery Case Reports
Valentina Giudici, Mazyar Kanani, Nagarajan Muthialu, Michelle Carr, Alistair D Calder, Catherine M Owens, Andrew C Cook, Jan Marek
We report three cases of an abnormal finding of duplicated left pulmonary artery: two of these occurring in children with Kabuki syndrome and configuring the setting of a pseudo-pulmonary sling without any clinical or cardiac cross-sectional evidence of tracheal compression. The other case instead represents duplicated left pulmonary artery with pulmonary sling caused by the retro-tracheal course of the lower left pulmonary artery associated with "Christmas Tree" arrangement of the tracheo-bronchial system...
February 2016: Cardiology in the Young
Esra Arun Özer, Süheyla Cumurcu, Ümit Bayol, Senem Alkan Özdemir, Özkan Ilhan, Sümer Sütçüoğlu
Abnormalities of the upper airway tract lead to congenital high airway obstruction and may complicate neonatal airway management in the delivery room. Congenital complete tracheal rings are a rare and unusual tracheal anomaly, usually presenting in the neonate or infant as respiratory distress. The clinical presentation can vary from almost asymptomatic patients to near-fatal airway obstruction. It may exist as an isolated entity, or in association with other congenital malformations, in particular, cardiac anomalies along with vascular rings and pulmonary slings...
February 4, 2015: Türk Patoloji Dergisi
Aaron O'Brien, Megan K Roth, Hariharan Athreya, Kent Reinker, William Koeck, Vishwas Patil, Hope Trevino, James Simmons, Ajeya P Joshi, Melvin D Smith, Robert M Campbell
BACKGROUND: Jeune syndrome (JS) often results in lethal thoracic insufficiency syndrome. Since 1991, vertical expandable prosthetic titanium rib Dynamic PosteroLateral Expansion Thoracoplasty was used at our institution for treatment of JS. This study assesses the safety and efficacy of this procedure. METHODS: Twenty-four JS patients were treated, 2 lost to follow-up, 17 with a minimum of 2-year follow-up retrospectively reviewed for clinical course: Assisted Ventilation Rate, respiratory rate, capillary blood gases, pulmonary function testings, and complications...
December 2015: Journal of Pediatric Orthopedics
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