Document Detail

Primary repair of pulmonary artery sling with double outlet right ventricle and distal tracheal stenosis.
MedLine Citation:
PMID:  12483178     Owner:  NLM     Status:  MEDLINE    
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.
Y Oshima; M Yamaguchi; N Yoshimura; K Ogawa; E Nishijima; C Tsugawa
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  43     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:  2002 Dec 
Date Detail:
Created Date:  2002-12-16     Completed Date:  2003-02-13     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  849-51     Citation Subset:  IM    
Department of Cardio-thoracic Surgery and Pediatric Surgery, Kobe Children's Hospital, Kobe, Japan.
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MeSH Terms
Abnormalities, Multiple / diagnosis*,  surgery
Anastomosis, Surgical
Cardiac Surgical Procedures / methods*
Double Outlet Right Ventricle / diagnosis*,  surgery
Follow-Up Studies
Heart Defects, Congenital / diagnosis*,  surgery
Pulmonary Artery / abnormalities*,  surgery
Risk Assessment
Thoracotomy / methods
Tracheal Stenosis / diagnosis*,  surgery
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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