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Ann Thorac Surg 1992;54:971-973
© 1992 The Society of Thoracic Surgeons


Articles

Pulmonary artery sling with tracheal stenosis: Primary one-stage repair in infancy

Gerhard Ziemer, MD*, Markus Heinemann, MD, Renate Kaulitz, MD, Joachim Freihorst, MD, Jürgen Seidenberg, MD, Martin Wilken, MD

Surgical Center, Division of Thoracic and Cardiovascular Surgery I, Children's Hospital, Divisions of Pediatric Cardiology and Pulmonology, Hannover Medical School, Hannover, Germany

Accepted for publication December 6, 1991.

* Address reprint requests to Dr Ziemer, Surgical Center, Division of Thoracic and Cardiovascular Surgery, Hannover Medical School, Konstanty-Gutschow-Str 8, D-3000 Hannover 61, Germany.

Pulmonary artery sling is often associated with tracheal stenosis. In many cases repair of the vascular anomaly alone does not relieve dyspnea. Primary one-stage repair with long segment tracheal resection (2.4 cm) and relocation of the left pulmonary artery using cardiopulmonary bypass and deep hypothermic circulatory arrest is described in a 6.5-month-old girl weighing 6.5 kg. This technique resulted in normal ventilation and pulmonary flow distribution.




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