Home > Journals > Chirurgia > Past Issues > Chirurgia 2012 August;25(4) > Chirurgia 2012 August;25(4):287-9





A Journal on Surgery

Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index



Chirurgia 2012 August;25(4):287-9

language: English

The unusual surgical correction of a pulmonary artery sling case associated with an aberrant right subclavian artery: off-pump surgery

Bilal M. S. 1, Kirbas A. 1, Gurer O. 1, Celebi A. 2

1 Department of Cardiovascular Surgery, Medicana Camlica Hospital, Uskudar, Istanbul, Turkey;
2 Department of Pediatric Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Haydarpasa, Istanbul, Turkey


Pulmonary artery sling is a rare congenital disorder, created by anomalous origin of the left pulmonary artery from the posterior aspect of the right pulmonary artery. The anomalous left pulmonary artery compresses the lower trachea and right mainstem bronchus, leading to upper airway symptoms. Symptomatic newborns and infants with these complex lesions have a high mortality rate unless they are operated. The ideal surgery remains controversial, with debate focusing on the need for left pulmonary artery for reimplantation. A 4-year-old girl successfully underwent repair of pulmonary artery sling through a median sternotomy by division of the left pulmonary artery and its reimplantation into the main pulmonary artery without cardiopulmonary bypass. The patient is doing well on the 18 months follow-up with unobstructed pulmonary blood flow and dramatic reduction of tracheal stenosis.

top of page

Publication History

Cite this article as

Corresponding author e-mail