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J Pediatr Intensive Care 2021; 10(03): 235-239
DOI: 10.1055/s-0040-1713617
Case Report

A Case of Pulmonary Artery Sling Anomaly with Tracheal Stenosis and Management of Difficult Airway

Emine Gulsah Torun 
1   Department of Pediatrics, University of Health Sciences, Dr. Sami Ulus Training and Research Hospital for Maternity and Children, Ankara, Turkey
,
Mutlu U. Yazici
2   Department of Pediatric Intensive Care Unit, University of Health Sciences, Dr. Sami Ulus Training and Research Hospital for Maternity and Children, Ankara, Turkey
,
Ebru Azapagası
2   Department of Pediatric Intensive Care Unit, University of Health Sciences, Dr. Sami Ulus Training and Research Hospital for Maternity and Children, Ankara, Turkey
,
Utku A. Örün
3   Department of Pediatric Cardiology, University of Health Sciences, Dr. Sami Ulus Training and Research Hospital for Maternity and Children, Ankara, Turkey
,
Hasibe G. Cinar
4   Department of Pediatric Radiology, University of Health Sciences, Dr. Sami Ulus Training and Research Hospital for Maternity and Children, Ankara, Turkey
,
Murat Koc
5   Department of Pediatric Cardiovascular Surgery, University of Health Sciences, Dr. Sami Ulus Training and Research Hospital for Maternity and Children, Ankara, Turkey
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Abstract

Pulmonary artery sling is a rare congenital vascular abnormality, where the left pulmonary artery originates from the right pulmonary artery, passes between trachea, and esophagus and reaching the left hilum. Cough, wheezing, and difficulty in feeding are three major symptoms. Untreated pulmonary sling carries high morbidity and mortality, most of which is due to the airway and other associated anomalies. Herein, we reported a 40-day-old male infant who admitted to the pediatric intensive care unit with progressive respiratory distress and diagnosed with left pulmonary sling with tracheal stenosis. We discussed the diagnosis and management of pulmonary artery sling and present the successful use of laryngeal mask in difficult airway management.

Keywords

computed tomography angiography - infant - in vitro fertilization - laryngeal mask airway - pulmonary artery sling


Publication History

Received: 29 March 2020

Accepted: 11 May 2020

Article published online:
15 July 2020

© 2020. Thieme. All rights reserved.

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