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THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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The Journal of Cardiovascular Surgery 2002 December;43(6):849-51

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Primary repair of pulmonary artery sling with double outlet right ventricle and distal tracheal stenosis

Oshima Y., Yamaguchi M., Yoshimura N., Ogawa K., Nishijima E., Tsugawa C.

Department of Cardio-thoracic Surgery and Pediatric Surgery Kobe Children’s Hospital, Kobe, Japan


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The ­fate of ­patients ­with pul­mo­nary ­artery ­sling ­depends on asso­ciat­ed tra­cheal ­lesions. Distal tra­cheal sten­o­sis involv­ing the cari­na fre­quent­ly ­results in ­lethal obstruc­tion due to secre­tion or inflam­ma­to­ry ede­ma. Further-more, asso­ciat­ed com­plex car­diac anom­a­lies ­with exces­sive pul­mo­nary ­flow ­make the sit­u­a­tion ­more com­pli­cat­ed. We ­present a ­case of suc­cess­ful simul­ta­ne­ous one-­stage ­repair of pul­mo­nary ­artery ­sling, dou­ble out­let ­right ven­tri­cle and dis­tal tra­cheal obstruc­tion. Pulmonary ­artery ­sling was ­relieved by relo­ca­tion of the ­left pul­mo­nary ­artery (­left pul­mo­nary ­artery to ­main pul­mo­nary ­artery) and a tra­che­o­plas­ty (resec­tion and end-to-end anas­tom­o­sis). We advo­cate ear­ly aggres­sive simul­ta­ne­ous ­repair of pul­mo­nary ­artery ­sling ­with tra­cheal sten­o­sis and con­com­i­tant ­repair of intra­car­diac anom­a­lies when­ev­er pos­sible.

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