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PMID: 2657677 Published · ppublish English Case Reports Journal Article Research Support, Non-U.S. Gov't Review

Pulmonary vascular sling: report of seven cases and review of the literature.

Pediatric cardiology ·Vol. 10 ·No. 2 ·1989-00-00 ·Pages 81-9

Gikonyo BM, Jue KL, Edwards JE

Abstract

A total of 130 cases of pulmonary vascular sling, including seven new cases in our collection, were studied. The sex distribution was 60% male and 40% female. The age at presentation was in the first year of life in approximately 90% of cases. Barium-esophagraphy showing anterior indentation was diagnostic in most of the cases. Bronchoscopy and tracheobronchography were useful in detecting associated tracheobronchial anomalies preoperatively. The analysis of 68 autopsied cases revealed associated tracheobronchial anomalies in 40% of the cases. Anomalies of the tracheobronchial tree took three major forms: abnormal distribution of cartilage in the walls of the trachea and major bronchi, intrinsic stenosis, and abnormal branching, the latter being that of bronchus suis. Acquired changes secondary in the sling resulted in compression of the major respiratory pathway by the anomalous left pulmonary artery. Major associated cardiovascular anomalies were present in 30% of the cases. These were represented by ventricular septal defect, atrial septal defect, patent ductus arteriosus, tetralogy of Fallot, common ventricle, and coarctation of the aorta.

MeSH Terms
Abnormalities, Multiple/pathology Bronchi/abnormalities Female Heart Defects, Congenital/pathology Humans Infant, Newborn Male Pulmonary Artery/abnormalities Trachea/abnormalities
Authors & Affiliations
3 authors, click to expand affiliations / ORCID
Gikonyo B M
Department of Pediatrics, University of Minnesota, Minneapolis.
Jue K L
Edwards J E
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Article Info
Journal
Pediatric cardiology
Abbr.
Pediatr Cardiol
ISSN
0172-0643
DOI
10.1007/BF02309919
Published
1989-00-00
Pages
81-9
Language
English
Region
United States
NLM ID
8003849
Subset
IM
Corrections
CommentIn
PMID: 1997992
External Links
PubMed source DOI: 10.1007/BF02309919 View journal details
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