Abstract
A 9-month-old child presented suffering from repeated severe infections of the lower respiratory tract. Bronchoscopy revealed a tracheal stenosis, suggestive of a vascular anomaly of the great arteries. A second significant stenosis of the left main stem bronchus was observed that was suspected to be due to a ligamentum arteriosum. Heart catheterization confirmed the diagnosis of an abnormal origin of the left pulmonary artery (pulmonary sling). Based on the bronchoscopic and angiographic findings a pulmonary ring was suspected. A dissection of the ligamentum arteriosum was performed. At readmission 4 weeks postoperatively the child was asymptomatic and the left main bronchus was patent.
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Frischer, T., Holomanova, I., Frenzel, K. et al. Therapeutic strategy in a 9-month-old child with pulmonary sling: Need for bronchoscopic evaluation. Pediatr Cardiol 17, 201–203 (1996). https://doi.org/10.1007/BF02505216
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DOI: https://doi.org/10.1007/BF02505216