Abstract
Although noted in the 19th century, it was not until 1938 that Scheid published the combination of left pulmonary artery sling and narrowing of the airway due to annular tracheal cartilages. Unaware of these prior descriptions, and without a precise preoperative diagnosis, Willis Potts in Chicago performed the first successful sling repair in 1953. In 1976, Cohen and Landing described Scheid’s combination of left pulmonary artery sling and stenosis caused by complete tracheal rings, and the term “ring-sling complex” was introduced by Berdon in 1984. Four years later, Wells and Landing noted characteristic tracheobronchial malformations associated with these lesions and proposed a classification that has been confirmed to be clinically relevant in recent cross-sectional imaging studies.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Glaevecke H, Doehle W (1897) Üeber eine seltene angeborene anomalie der pulmonalarterie. MMW 44:950–953
Scheid P (1938) Missbildung des Trachealskelettes und der linken arteria pulmonalis mit Erstickungstod ebi 7 Monate altem Kind. Frankfurter Zeitschrift für Pathologie 52:114–124
Potts WJ, Holinger PH, Rosenblum AH (1954) Anomalous left pulmonary artery causing obstruction to right mainstem bronchus. JAMA 155:1409–1411
Contro S, Miller RA, Potts WJ (1958) Bronchial obstruction due to pulmonary artery anomalies: I. vascular sling. Circulation 17:418–423
Rosenberg BF, Tantiwongse T, Wittenborg MH (1956) Anomalous course of left pulmonary artery with respiratory obstruction. Radiology 1956:339–345
Jacobson JH, Morgan BC, Andersen DH et al (1960) Aberrant left pulmonary artery. A correctable cause of respiratory obstruction. J Thorac Cardiovasc Surg 39:602–612
Clarkson PM, Ritter DG, Rahimtoola SH et al (1967) Aberrant left pulmonary artery. Am J Dis Child 113:373–377
Capitanio MA, Ramos R, Kirkpatrick JA (1971) Pulmonary sling roentgen observations. Am J Roentgenol Radium Ther Nucl Med 112:28–34
Gonzalez-Crussi F, Padilla LM, Miller JK et al (1976) “Bridging bronchus.” A previously undescribed airway anomaly. Am J Dis Child 130:1015–1018
Cohen SR, Landing BH (1976) Tracheostenosis and bronchial abnormalities associated with pulmonary artery sling. Ann Otol Rhinol Laryngol 85:582–590
Berdon WE, Baker DH, Wung JT et al (1984) Complete cartilage-ring tracheal stenosis associated with anomalous left pulmonary artery: the ring-sling complex. Radiology 152:57–64
Wells TR, Gwinn JL, Landing BH et al (1988) Reconsideration of the anatomy of sling left pulmonary artery: the association of one form with bridging bronchus and imperforate anus. Anatomic and diagnostic aspects. J Pediatr Surg 23:892–898
Wells TR, Stanley P, Padua EM et al (1990) Serial section-reconstruction of anomalous tracheobronchial branching patterns from CT scan images: bridging bronchus associated with sling left pulmonary artery. Pediatr Radiol 20:444–446
Newman B, Cho Y (2010) Left pulmonary artery sling–anatomy and imaging. Semin Ultrasound CT MR 31:158–170
Zhong YM, Jaffe RB, Zhu M et al (2010) CT assessment of tracheobronchial anomaly in left pulmonary artery sling. Pediatr Radiol 40:1755–1762
Campbell CD, Wernly JA, Koltip PC et al (1980) Aberrant left pulmonary artery (pulmonary artery sling): successful repair and 24 year follow-up report. Am J Cardiol 45:316–320
Acknowledgement
The authors are grateful to Dr. Patricia Clarkson, Dr. Richard Jaffe, Dr. Beverley Newman, Dr. J. Bruce Beckwith and Dr. Marvin Nelson Jr. for sharing their insights and memories.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Berdon, W.E., Muensterer, O.J., Zong, YM.M. et al. The triad of bridging bronchus malformation associated with left pulmonary artery sling and narrowing of the airway: the legacy of Wells and Landing. Pediatr Radiol 42, 215–219 (2012). https://doi.org/10.1007/s00247-011-2273-2
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00247-011-2273-2