HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Dunn, J. M. Articles by Stark, J. Search for Related Content PubMed PubMed Citation Articles by Dunn, J. M. Articles by Stark, J.

Ann Thorac Surg 1979;28:230-238
© 1979 The Society of Thoracic Surgeons

---

Articles

Early and Late Results of Surgical Correction of Pulmonary Artery Sling

From the Thoracic Unit and Department of Radiology, The Hospital for Sick Children, Great Ormond Street, London, England.

^* Address reprint requests to Mr. Stark, Thoracic Unit, The Hospital for Sick Children, Great Ormond Street, London WC1N 3JH, England.

Since 1976, we have operated on 4 children with pulmonary vascular sling. They were 5, 12, 19, and 54 months old. All patients were seen initially with severe stridor. Diagnosis was made by barium swallow in all 4.

Each child was operated on through a left thoracotomy; the left pulmonary artery was dissected deep between the trachea and esophagus. Systemic heparinization and microsurgical techniques were used. All patients improved after operation. Radioisotope pulmonary ventilation/perfusion scans were performed 9, 9, 14, and 21 months after operation. Decreased ventilation was noted in the right upper lobe of one scan; the other three ventilation scans were normal. Perfusion scans showed good patency of both pulmonary arteries in all 4 patients.

It is concluded that pulmonary vascular slings should be treated surgically as soon as diagnosed. Delayed operation can lead to severe tracheomalacia, as demonstrated in our 54-month-old patient.

This article has been cited by other articles:

				C. L. Backer, H. M. Russell, S. Kaushal, J. C. Rastatter, C. K. Rigsby, and L. D. Holinger Pulmonary artery sling: Current results with cardiopulmonary bypass J. Thorac. Cardiovasc. Surg., January 1, 2012; 143(1): 144 - 151. [Abstract] [Full Text] [PDF]

				A. Pawade, M. R. de Leval, M. J. Elliott, and J. Stark Pulmonary artery sling Ann. Thorac. Surg., November 1, 1992; 54(5): 967 - 970. [Abstract] [PDF]

				G. Ziemer, M. Heinemann, R. Kaulitz, J. Freihorst, J. Seidenberg, and M. Wilken Pulmonary artery sling with tracheal stenosis: Primary one-stage repair in infancy Ann. Thorac. Surg., November 1, 1992; 54(5): 971 - 973. [Abstract] [PDF]

				M. Ba, S. Spier, E. Selman-Houssein Sosa, R. Guerin, E. Hery, N. van Doesburg, P. Stanley, and C. Chartrand Pulmonary Sling: Therapeutic Considerations--Case Reports Vascular and Endovascular Surgery, June 1, 1991; 25(5): 405 - 411. [Abstract] [PDF]

				V. R. Conti and T. E. Lobe Vascular sling with tracheomalacia: surgical management Ann. Thorac. Surg., February 1, 1989; 47(2): 310 - 311. [Abstract] [PDF]

				M. S. J. Hickey and A. E. Wood Pulmonary Artery Sling with Tracheal Stenosis: One-stage Repair Ann. Thorac. Surg., October 1, 1987; 44(4): 416 - 417. [Abstract] [PDF]