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Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Online ISSN 1827-1782
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.