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Pediatric Cardiology

, Volume 17, Issue 3, pp 201–203 | Cite as

Therapeutic strategy in a 9-month-old child with pulmonary sling: Need for bronchoscopic evaluation

  • T. Frischer
  • I. Holomanova
  • K. Frenzel
  • G. Wollenek
  • M. Wimmer
Case Reports

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.

Key words

Pulmonary sling Pulmonary ring Ligamentum arteriosum Bronchoscopy 

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Copyright information

© Springer-Verlag New York Inc. 1996

Authors and Affiliations

  • T. Frischer
    • 1
  • I. Holomanova
    • 1
  • K. Frenzel
    • 1
  • G. Wollenek
    • 2
  • M. Wimmer
    • 1
  1. 1.University Childrens Hospital, Department of CardiologyUniversity of ViennaViennaAustria
  2. 2.Second Department of SurgeryUniversity of ViennaViennaAustria

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