PDF(Pubmed)
Abstract：
UNASSIGNED: Left pulmonary artery sling is an uncommon condition observed in infants. The severity of the condition is determined by the compression of the broncho-tracheal tree induced by the ring sling compression. The main goal of the treatment is to adjust the left pulmonary artery and eventually relieving the compression through surgery. The long-term outcome associated with the complexity of the anomalies.
METHODS: A nine-months old patient complained of worsening respiratory distress. The computed tomography scan revealed the potential presence of a left pulmonary artery sling and compression of the trachea, without any abnormalities in the trachea itself. Echocardiography study showed no intracardiac lesion. We successfully did left pulmonary artery transection and re-implantation to main pulmonary artery without cardiopulmonary bypass.
UNASSIGNED: Pulmonary artery sling commonly treated with reimplantation of the sling to its origin that usually required cardiopulmonary bypass machine. However, in our case we delivered it without the need of cardiopulmonary bypass. The outcome result turned excellent with echo post-operative showed confluent pulmonary arteries.
CONCLUSIONS: The optimal approach to treating congenital pulmonary artery sling is through early surgical intervention in symptomatic patients. Following surgical repair devoid of tracheal lesion, the prognosis appears favorable, and routine follow-up is required to determine the long-term effects.
METHODS: A nine-months old patient complained of worsening respiratory distress. The computed tomography scan revealed the potential presence of a left pulmonary artery sling and compression of the trachea, without any abnormalities in the trachea itself. Echocardiography study showed no intracardiac lesion. We successfully did left pulmonary artery transection and re-implantation to main pulmonary artery without cardiopulmonary bypass.
UNASSIGNED: Pulmonary artery sling commonly treated with reimplantation of the sling to its origin that usually required cardiopulmonary bypass machine. However, in our case we delivered it without the need of cardiopulmonary bypass. The outcome result turned excellent with echo post-operative showed confluent pulmonary arteries.
CONCLUSIONS: The optimal approach to treating congenital pulmonary artery sling is through early surgical intervention in symptomatic patients. Following surgical repair devoid of tracheal lesion, the prognosis appears favorable, and routine follow-up is required to determine the long-term effects.
摘要：
■左肺动脉吊带是在婴儿中观察到的罕见病症。病情的严重程度取决于环吊带压缩引起的支气管气管树的压缩。治疗的主要目标是调整左肺动脉并最终通过手术减轻压迫。与异常的复杂性相关的长期结果。
方法：一名9个月大的患者主诉呼吸窘迫恶化。计算机断层扫描显示潜在存在左肺动脉吊带和气管受压，气管本身没有任何异常。超声心动图研究显示无心内病变。我们成功地进行了左肺动脉横切并在没有体外循环的情况下重新植入了主肺动脉。
■肺动脉吊带通常通过将吊带重新植入其起源来治疗，这通常需要体外循环机。然而,在我们的情况下，我们在不需要体外循环的情况下交付了它。结果良好，术后回声显示肺动脉汇合。
结论：治疗先天性肺动脉吊带的最佳方法是对有症状的患者进行早期手术干预。在没有气管损伤的手术修复后，预后似乎良好，并且需要常规随访以确定长期效果。
方法：一名9个月大的患者主诉呼吸窘迫恶化。计算机断层扫描显示潜在存在左肺动脉吊带和气管受压，气管本身没有任何异常。超声心动图研究显示无心内病变。我们成功地进行了左肺动脉横切并在没有体外循环的情况下重新植入了主肺动脉。
■肺动脉吊带通常通过将吊带重新植入其起源来治疗，这通常需要体外循环机。然而,在我们的情况下，我们在不需要体外循环的情况下交付了它。结果良好，术后回声显示肺动脉汇合。
结论：治疗先天性肺动脉吊带的最佳方法是对有症状的患者进行早期手术干预。在没有气管损伤的手术修复后，预后似乎良好，并且需要常规随访以确定长期效果。
