Hostname: page-component-848d4c4894-tn8tq Total loading time: 0 Render date: 2024-06-29T20:18:27.549Z Has data issue: false hasContentIssue false

A pulmonary artery sling with a vascular ring in a toddler: an uncommon combination

Published online by Cambridge University Press:  01 March 2018

Ziyad M. Binsalamah*
Affiliation:
Texas Children’s Hospital, Baylor College of Medicine, Houston, TX, USA
Charles D. Fraser Jr.
Affiliation:
Texas Children’s Hospital, Baylor College of Medicine, Houston, TX, USA
Carlos M. Mery
Affiliation:
Texas Children’s Hospital, Baylor College of Medicine, Houston, TX, USA
*
Author for correspondence: Z. M. Binsalamah, MD, MSc, FRCSC, Division of Congenital Heart Surgery, Texas Children’s Hospital; Michael E. DeBakey Department of Surgery, Baylor College of Medicine, 6621 Fannin St, MC19345H, Houston, TX 77030, USA. Tel: 832 826 1929; Fax: 832 825 1905; E-mail: ziyadmss@gmail.com

Abstract

Pulmonary artery slings and vascular rings are very rare congenital anomalies. It is even rarer to have both anomalies in the same setting. We present a case of a toddler who was diagnosed with a left pulmonary artery sling and a vascular ring as part of the screening process for the VACTERL association – co-occurrence of vertebral, anorectal, cardiac, tracheoesophageal, renal, and limb malformations. He underwent a successful surgical repair via median sternotomy and on cardiopulmonary bypass with an uneventful postoperative course.

Type
Brief Report
Copyright
© Cambridge University Press 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Lee, JW, Printz, BF, Hegde, SR, Vargas, LA, Sun, HY. Double trouble: fetal diagnosis of a pulmonary artery sling and vascular ring. Clin Case Rep 2016; 4: 11871190.Google Scholar
2. Fiore, AC, Brown, JW, Weber, TR, Turrentine, MW. Surgical treatment of pulmonary artery sling and tracheal stenosis. Ann Thorac Surg 2005; 79: 3846; discussion 38–46.Google Scholar
3. Backer, CL, Russell, HM, Kaushal, S, Rastatter, JC, Rigsby, CK, Holinger, LD. Pulmonary artery sling: current results with cardiopulmonary bypass. J Thorac Cardiovasc Surg 2012; 143: 144151.Google Scholar
4. Potts, WJ, Holinger, PH, Rosenblum, AH. Anomalous left pulmonary artery causing obstruction to right main bronchus: report of a case. JAMA 1954; 155: 14091411.CrossRefGoogle ScholarPubMed
5. Wu, SJ, Downing, T, Mascio, C, et al. Reintervention burden and vessel growth after surgical reimplantation of a pulmonary artery during childhood. Pediatr Cardiol 2018; 39: 390397.Google Scholar
6. Jeong, DH, Han, HS, Hahn, YS, Lee, SJ. Unusual association of pulmonary artery sling with right aortic arch and aberrant left subclavian artery. J Korean Med Sci 2000; 15: 119121.CrossRefGoogle ScholarPubMed