Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2021 Apr-Jun;14(2):239-241.
doi: 10.4103/apc.APC_98_20. Epub 2020 Dec 30.

Pulmonary sling in a patient with common arterial trunk

Mohamed Sobh  1 , Patrick Langguth  2 , Kolja Becker  1 , Jens Scheewe  3 , Anselm Uebing  1 , Inga Voges  1
Affiliations
Case Reports

Pulmonary sling in a patient with common arterial trunk

Mohamed Sobh et al. Ann Pediatr Cardiol. 2021 Apr-Jun.

Abstract

We report a rare association of common arterial trunk with left pulmonary artery sling and highlight the importance of cross-sectional imaging in complex congenital cardiac lesions. The patient was antenatally diagnosed with common arterial trunk and underwent surgical repair in the neonatal period. At the age of 20 months, the patient presented with respiratory symptoms and increased right ventricular pressure. Multislice computed tomography demonstrated a pulmonary sling with compression of the distal trachea. Surgical correction of the pulmonary sling and change of the right ventricular to pulmonary artery conduit to a bigger size was performed.

Keywords: Common arterial trunk; computed tomography; cross-sectional imaging; pulmonary sling.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Parasternal echocardiographic views. (a) The arterial trunk is overriding the ventricular septum and the large malaligned ventricular septal (asterisk). (b) After balanced division of the trunk into the systemic and pulmonary pathways, there was a long pulmonary artery segment
Figure 2
Figure 2
Angiogram in an anterior-posterior (a) and in a lateral projection (b) demonstrating the dilated pulmonary bifurcation and right ventricular to pulmonary artery conduit
Figure 3
Figure 3
Multislice computed tomography showing the course of the left pulmonary artery (a) and the luminal narrowing of the distal trachea (*, a and b)
See this image and copyright information in PMC

References

    1. Yong MS, Zhu MZL, Bell D, Alphonso N, Brink J, d'Udekem Y, Konstantinov IE. Long-term outcomes of surgery for pulmonary artery sling in children. Eur J Cardiothorac Surg. 2019;56:369–76. - PubMed
    1. Dillman JR, Attili AK, Agarwal PP, Dorfman AL, Hernandez RJ, Strouse PJ. Common and uncommon vascular rings and slings: A multi-modality review. Pediatr Radiol. 2011;41:1440–54. - PubMed
    1. Fiore AC, Brown JW, Weber TR, Turrentine MW. Surgical treatment of pulmonary artery sling and tracheal stenosis. Ann Thorac Surg. 2005;79:38–46. - PubMed
    1. Anagnostopoulos PV, Kenny EC, Peterson AL, Hagen SA, McMurray JS. Neonatal repair in a patient with heterotaxy, truncus arteriosus, pulmonary artery sling, and tracheal stenosis. Ann Thorac Surg. 2015;100:2359–62. - PubMed
    1. Butto F, Lucas RV, Jr, Edwards JE. Persistent truncus arteriosus: Pathologic anatomy in 54 cases. Pediatr Cardiol. 1986;7:95–101. - PubMed

Publication types