Surgical Repair of Pulmonary Artery Sling in an Adult

LaBelle, Michael F.; Rainer, W. Gerald; Ratzer, Erick R.; Miller, Kevin B.

doi:10.1016/j.athoracsur.2009.12.088

Cited by 14 publications

(17 citation statements)

References 7 publications

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“…According to these reports, surgery for supernumerary tracheal bronchus was performed safely unless tracheal surgery was necessary. Unlike in infants, most adults are asymptomatic or have mild symptoms that could be attributed to a PAS [4]. Though LaBelle et al [4] reported successful surgical repair of PAS in an adult, Procacci et al [5] reviewed 17 cases of adults diagnosed with PAS and found that none had undergone surgical repair.…”

Section: Discussionmentioning

confidence: 99%

Partial lung resection of supernumerary tracheal bronchus combined with pulmonary artery sling in an adult: report of a case

Miyazaki

Yamasaki

Tsuchiya

et al. 2013

Gen Thorac Cardiovasc Surg

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An adult case of pulmonary resection for repeated infections in a supernumerary tracheal bronchus combined with a pulmonary artery sling is reported. A 33-year-old woman with a pulmonary artery sling was referred for recurrent lung infections. Chest computed tomography showed the left pulmonary artery arising from the right pulmonary artery and coursing posterior to the trachea. The lung parenchyma connected to the tracheal bronchus showed dense opacity and traction bronchiectasis. Partial pulmonary resection was performed with an ultrasonically activated scalpel after the tracheal bronchus was auto-sutured. The patient's postoperative course was uneventful, and she is now in good condition.Miyazaki 3

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Section: Discussionmentioning

confidence: 99%

Partial lung resection of supernumerary tracheal bronchus combined with pulmonary artery sling in an adult: report of a case

Miyazaki

Yamasaki

Tsuchiya

et al. 2013

Gen Thorac Cardiovasc Surg

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“…Of these, only 1 patient required surgical correction for symptoms of dysphagia. 8 This is the first report of the need for surgical correction of a PA sling in adulthood due to respiratory symptoms. Interestingly, the sharp anterior angulation of the anomalous left PA resulted in compression of the distal trachea and proximal left mainstem bronchus in our patient, rather than the typical right-sided compression, although it is unclear whether this conformation affected the severity of respiratory symptoms.…”

Section: Discussionmentioning

confidence: 88%

Pulmonary Artery Sling

Odell

Gangadharan

Majid

2011

Journal of Bronchology &Amp; Interventional Pulmonology

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Tracheomalacia (TM) is an under-recognized condition that presents with nonspecific symptoms such as dyspnea, cough, and recurrent infections. Frequently, patients with this condition are misdiagnosed with more prevalent diseases such as asthma and chronic obstructive pulmonary disease. We report a case of a 29-year-old woman with long-standing, mild, persistent asthma characterized by dyspnea and cough, who experienced acute and severe worsening of her symptoms after the cesarean section for the delivery of her third child. She was initially treated with bronchodilators and oral corticosteroids without improvement. She underwent further evaluation with a chest computed tomographic scan and a flexible bronchoscopy, which revealed focal TM in the distal trachea secondary to chronic extrinsic compression due to a pulmonary vascular sling. We discuss her subsequent evaluation and management.

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“…Presentation of PA sling in adults is rare (3-10). Unlike infantile cases, most adult cases are asymptomatic or mildly symptomatic (15). To our knowledge, there are only three documented adult cases of PA sling accompanied by tracheobronchial anomalies, similar to the present case (3,4,6).…”

Section: Discussionmentioning

confidence: 99%

An Adult Case of Pulmonary Artery Sling Accompanied by Tracheobronchomalacia

et al. 2019

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Pulmonary artery (PA) sling is a congenital disease in which the left PA abnormally arises from the right PA and is usually diagnosed during the infantile period. We present an adult case of PA sling accompanied by tracheobronchomalacia found in a 49-year-old woman with a history of recurrent pneumonia. Computed tomography of the chest showed that the left lung was nourished by two aberrant PAs. Bronchoscopy demonstrated achondroplasia of the trachea and the right bronchus, which we speculate to have resulted in their stenosis. The recurrent pneumonia was attributable to these tracheobronchial structural abnormalities; we therefore stress the importance of focusing on the anatomic abnormalities in such cases.

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Surgical Repair of Pulmonary Artery Sling in an Adult

Cited by 14 publications

References 7 publications

Partial lung resection of supernumerary tracheal bronchus combined with pulmonary artery sling in an adult: report of a case

Partial lung resection of supernumerary tracheal bronchus combined with pulmonary artery sling in an adult: report of a case

Pulmonary Artery Sling

An Adult Case of Pulmonary Artery Sling Accompanied by Tracheobronchomalacia

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