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Ann Thorac Surg 1992;54:967-970
© 1992 The Society of Thoracic Surgeons

Articles

Pulmonary artery sling

Ashwinikumar Pawade, FRCS, Marc R. de Leval, FRCS, Martin J. Elliott, FRCS, Jaroslav Stark, FRCS*

The Hospital for Sick Children, London, England

Accepted for publication August 12, 1992.

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

Eighteen patients who underwent surgical treatment of pulmonary artery sling at this institution since 1969 were reviewed. Four of them had associated tracheal stenoses produced by complete cartilaginous rings (stovepipe trachea). All patients underwent operation. The median age at operation was 180 days (range, 27 days to 54 months). In the 14 patients with isolated pulmonary sling, the operation consisted of division of left pulmonary artery and reimplantation into the main pulmonary artery anterior to the trachea. In the 4 patients with stovepipe trachea, the stenotic tracheal segment was resected on cardiopulmonary bypass and the left pulmonary artery was brought anterior to the trachea before the latter was reanastomosed to the main pulmonary artery. There were no early deaths. One patient died late. The pulmonary artery anastomosis was patent in all 14 patients investigated postoperatively. Three patients have residual tracheobronchial problems. One patient is mentally retarded and is institutionalized. All other patients are symptom-free and growing normally and have normal chest radiographs.




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