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Vascular Ring and Sling Surgery

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Early Diagnosis of Left Pulmonary Artery Sling During First Week of Life in a Term Baby Boy: A Case Report.

Dima Kayal, Samer Minkara, Faissal Tleiss,

Pulmonary artery sling is a rare cause of neonatal respiratory distress. Most patients with pulmonary artery sling present in early infancy with stridor and signs of respiratory distress. Diagnosis of pulmonary artery sling, like other vascular ring anomalies, can be made using various imaging modalities, and management encompasses urgent surgical ... Read more >>

Cureus (Cureus)
[2020, 12(2):e6889]

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Pulmonary artery sling: a rare cause of stridor and respiratory distress.

Nádia Santos, Teresa Almeida, Maria Carlos Janeiro, Duarte Martins,

BMJ Case Rep (BMJ case reports)
[2020, 13(2):]

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Clinical and structural aspects of tracheal stenosis and a novel embryological hypothesis of left pulmonary artery sling.

Naoya Fukushima, Naoki Shimojima, Makoto Ishitate, Tomoo Miyakawa, Seiichi Hirobe, Masaru Miura,

OBJECTIVES:To identify the imaging features peculiar to congenital tracheal stenosis (CTS) complicated with left pulmonary artery sling (LPAS) with the aim of presenting a hypothesis of tracheal stenosis embryology in LPAS. METHODS:We retrospectively reviewed CTS patients (with complete cartilaginous rings) admitted between April 2010 and July 2018. All the patients ... Read more >>

Pediatr. Pulmonol. (Pediatric pulmonology)
[2020, 55(3):747-753]

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Dysphagia Lusoria: Is the Dysmotility Connection Illusory or Real?

Michael Coles, Amol Sharma,

Dysphagia lusoria is rare embryologic defect of the aortic arch vasculature characterized by an aberrant retro-esophageal course of the right subclavian artery (RSA), comprising a vascular sling. This may manifest clinically with symptoms of dysphagia or reflux. Given the rarity of this pathology, there remains uncertainty regarding the most effective ... Read more >>

Dig. Dis. Sci. (Digestive diseases and sciences)
[2020, 65(4):942-945]

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Morphological Analysis of Congenital Heart Disease with Anomalous Tracheobronchial Arborization.

Xiaoqi Song, Zhaohui Lu, Limin Zhu, Xinwei Du, Shunmin Wang, Zhiwei Xu,

BACKGROUND:To study the morphological characteristics of congenital heart disease (CHD) combined with anomalous tracheobronchial arborization (ATBA), and provide new considerations for surgically treating congenital tracheal stenosis. METHODS:A retrospective review of surgical experience with ATBA was conducted, including 147 patients. The proportion of patients with ATBA combined with tracheal stenosis was ... Read more >>

Ann. Thorac. Surg. (The Annals of thoracic surgery)
[2020, :]

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Surgical indication for congenital tracheal stenosis complicated by pulmonary artery sling.

Atsushi Harada, Naoki Shimojima, Akihiro Shimotakahara, Saya Azuma, Yoshiaki Ishizuka, Hirofumi Tomita, Seiichi Hirobe,

Background:Congenital tracheal stenosis (CTS) is a rare and life-threatening disease in children. Although pulmonary artery sling (PA sling) complicated by CTS sometimes occurs, there are few reports detailing the management of CTS with PA sling. The purpose of this retrospective study was to determine the appropriate indications for surgical intervention ... Read more >>

J Thorac Dis (Journal of Thoracic Disease)
[2019, 11(12):5474-5479]

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Double vascular ring: a case report of double aortic arch and concurrent pulmonary artery sling.

Yoshimi Matsumoto, Masahiro Kamada, Naomi Nakagawa, Yukiko Ishiguchi,

BACKGROUND:Double aortic arch (DAA) and pulmonary artery sling (PAS) are vascular ring formations that present in neonates and infants with symptoms of respiratory stenosis. CASE SUMMARY:The patient was a girl with suspected ventricular septal defect (VSD), right aortic arch (AA), left patent ductus arteriosus, and bilateral superior vena cava (SVC) ... Read more >>

Eur Heart J Case Rep (European heart journal. Case reports)
[2019, 3(2):]

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Tracheal Stenosis and Congenital Heart Disease in Trisomy 21.

Ranjit I Kylat,

Tracheal rings (TR) are rare, congenital cartilaginous defect of the upper airway and are usually due to complete or near complete circumferential cartilaginous tracheal rings, with variable degrees of tracheal stenosis (TS) and shortening. Chromosomal anomalies like trisomy 21 are characteristically associated with a wide range of upper airway anomalies ... Read more >>

Children (Basel) (Children)
[2019, 6(9):]

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Kommerell's Diverticulum With a Twist: A Case of Recurrent Wheeze in an 8-Year-Old Boy.

Tiffany Amber Robles, Aditya Srinivasan, Lynnette Mazur, Anand Gourishankar,

Kommerell's diverticulum is a rare, congenital aortic arch anomaly, usually associated with other vascular abnormalities. When present with a concurrent right-sided aortic arch and an aberrant subclavian artery, this triad can form a vascular ring that encompasses the trachea and esophagus. This anatomical variant is usually asymptomatic but can present ... Read more >>

Glob Pediatr Health (Global Pediatric Health)
[2019, 6:2333794X19897506]

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Trends and predictors of mortality in unstable pelvic ring fracture: a 10-year experience with a multidisciplinary institutional protocol.

Hsien-Te Chen, Yu-Chun Wang, Chen-Chou Hsieh, Li-Ting Su, Shih-Chi Wu, Yuan-Shun Lo, Chien-Chun Chang, Chun-Hao Tsai,

Background:Pelvic ring fracture is often combined with other injuries and such patients are considered at high risk of mortality and complications. There is controversy regarding the gold standard protocol for the initial treatment of pelvic fracture. The aim of this study was to assess which risk factors could affect the ... Read more >>

World J Emerg Surg (World journal of emergency surgery : WJES)
[2019, 14:61]

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Pulmonary sling complex with complete tracheal rings and VSD with an unexpected ALCAPA.

Katharine Elizabeth Orr, Sophie Maxwell, Ruth Allen, Kerrie McAllister, Lindsay Hunter,

Arch. Dis. Child. (Archives of disease in childhood)
[2019, :]

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Surgical reconstruction for congenital tracheal malformation and pulmonary artery sling.

Huu Vinh Vu, Quang Khanh Huynh, Viet Dang Quang Nguyen,

BACKGROUND:Congenital tracheal malformations are less common than congenital cardiac diseases and surgical repair of these anomalies is complex. We sought to examine the surgical treatment and outcomes in cases of tracheal anomalies presenting with or without associated congenital malformations. METHODS:We retrospectively reviewed the demographic, clinical, and imaging data of 49 ... Read more >>

J Cardiothorac Surg (Journal of cardiothoracic surgery)
[2019, 14(1):49]

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Diagnosis and surgical repair of congenital double aortic arch in infants.

Yiting Yang, Xin Jin, Zhengxia Pan, Yonggang Li, Chun Wu,

OBJECTIVES:Double aortic arch (DAA) is a rare congenital vascular malformation. This study aims to summarize the experience of diagnosis and surgical treatment for congenital double aortic arch. METHODS:The clinical data of 24 cases with double aortic arch (DAA) from January 2008 to January 2018 in our hospital was reviewed retrospectively. ... Read more >>

J Cardiothorac Surg (Journal of cardiothoracic surgery)
[2019, 14(1):160]

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Combined Surgical and Endoscopic Approach for Ring-Sling Complex.

Giulio Porcedda, Alice Brambilla, Silvia Favilli, Bruno Murzi, Lorenzo Mirabile, Roberto Baggi, Luigi Arcieri,

BACKGROUND: Left pulmonary artery (LPA) sling (PAS) is a vascular ring, which is frequently associated with long-segment tracheal stenosis (TS). Mortality rate in operated children is still high, especially in cases of severe tracheal hypoplasia and/or associated congenital heart defects (CHDs). We report our experience of treatment and follow-up in a ... Read more >>

Thorac Cardiovasc Surg (The Thoracic and cardiovascular surgeon)
[2020, 68(1):51-58]

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Penile ring entrapment - A true urologic emergency: Grading, approach, and management.

Omar Dawood, Seena Tabibi, Julia Fiuk, Neil Patel, Ahmed El-Zawahry,

Penile rings are used to sustain erection in order to enhance sexual pleasure. They work by reducing the outflow of blood from the cavernosal tissue. However, if left for extended periods of time severe edema, urethral fistula, gangrene, and even complete loss of the distal penis can ensue, this is ... Read more >>

Urol Ann (Urology annals)
[2020, 12(1):15-18]

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Pulmonary Artery Sling Presenting as Pneumonia and Inhalation of a Foreign Body.

Shujuan Luo, Huaping Rao,

Pulmonary artery sling is a rare cause of respiratory distress created by compression of the lower trachea and right mainstem bronchus due to an aberrant origin of the left pulmonary artery. The condition is frequently associated with recurrent respiratory infections and other congenital malformations including tracheal rings. We present the ... Read more >>

Case Rep Infect Dis (Case reports in infectious diseases)
[2019, 2019:8912136]

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Intraoperative brachial plexus injury - Do we need a wake-up call?

Supriya Dsouza, Preeti Gupta, Manju Butani,

J Anaesthesiol Clin Pharmacol (Journal of anaesthesiology, clinical pharmacology)
[2019, 35(3):404-406]

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A 9-month-old with wheezing and acute hypoxic respiratory failure.

Matthew Wong, Rajeev Bhatia,

Foreign body aspiration remains a diagnostic challenge, especially in an infant. While acute onset wheezing is highly suggestive of an aspiration, wheezing carries a broad differential diagnosis resulting in frequent misdiagnoses. Many cases present with a range of nonspecific findings and normal imaging, stressing the importance of a high index ... Read more >>

Clin Case Rep (Clinical case reports)
[2019, 7(5):976-980]

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An Extensile Approach to the Radial Aspect of the Carpus: "The Link Incision".

Syed Suhaib Jameel, Roshin Thomas,

The structures on the radial side of the wrist and thumb base can be approached by a longitudinal incision on the radial side of the wrist. However, longer longitudinal scars can be cosmetically unacceptable and can result in a scar contracture. It is preferable to curve longer incisions along the ... Read more >>

Tech Hand Up Extrem Surg (Techniques in hand & upper extremity surgery)
[2019, 23(2):94-100]

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Complete tracheal rings and hypoplastic left heart variant: a rare and fatal association.

Neha Bansal, Deemah R Mahadin, Sanjeev Aggarwal,

Congenital complete tracheal rings are usually associated with pulmonary slings. We report a rare association of congenital complete tracheal rings with hypoplastic left heart variant. A term infant with diagnosis of a mildly hypoplastic mitral valve, unicuspid aortic valve, and moderately hypoplastic aortic arch with severe coarctation underwent a hybrid ... Read more >>

Cardiol Young (Cardiology in the young)
[2019, 29(3):445-447]

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An Adult Case of Pulmonary Artery Sling Accompanied by Tracheobronchomalacia.

Sahoko Imoto, Ryosuke Satomi, Mayuko Watase, Matsuo So, Hiroaki Murakami, Sakiko Hosoo, Iio Miwa, Kazuyuki Fujimoto, Shigenari Nukaga, Kazuma Yagi, Sota Oguro, Takahiko Oyama, Ryoichi Kato, Yoshitaka Oyamada,

Pulmonary artery (PA) sling is a congenital disease in which the left PA abnormally arises from the right PA and is usually diagnosed during the infantile period. We present an adult case of PA sling accompanied by tracheobronchomalacia found in a 49-year-old woman with a history of recurrent pneumonia. Computed ... Read more >>

Intern. Med. (Internal medicine (Tokyo, Japan))
[2019, 58(11):1621-1624]

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Tracheomalacia and Tracheobronchomalacia in Pediatrics: An Overview of Evaluation, Medical Management, and Surgical Treatment.

Ali Kamran, Russell W Jennings,

Tracheobronchomalacia (TBM) refers to airway collapse due to typically excessive posterior membrane intrusion and often associated with anterior cartilage compression. TBM occurs either in isolation or in association with other congenital or acquired conditions. Patients with TM typically present non-specific respiratory symptoms, ranging from noisy breathing with a typical barking ... Read more >>

Front Pediatr (Frontiers in pediatrics)
[2019, 7:512]

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Assessment of Suspected Vascular Rings and Slings and/or Airway Pathologies Using Magnetic Resonance Imaging Rather Than Computed Tomography.

Olaf Sommburg, Astrid Helling-Bakki, Abdul Alrajab, Jens-Peter Schenk, Wolfgang Springer, Marcus A Mall, Tsvetomir Loukanov, Joachim G Eichhorn,

BACKGROUND:Congenital cardiovascular malformations (CCVM) may cause infrequently airway pathologies (AP) in children and are of prognostic and therapeutic relevance. While computed tomography (CT) is considered first-line imaging modality in many centres, we started using magnetic resonance imaging (MRI) more and more in the last years to detect CCVM and AP ... Read more >>

Respiration (Respiration; international review of thoracic diseases)
[2019, 97(2):108-118]

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Minimally invasive mitral valve repair for functional mitral regurgitation.

Evaldas Girdauskas, Jonas Pausch, Eva Harmel, Tatiana Gross, Christian Detter, Christoph Sinning, Jens Kubitz, Hermann Reichenspurner,

Systolic heart failure is frequently accompanied by a relevant functional mitral valve regurgitation (FMR) which develops as a direct sequela of the ongoing left ventricular remodelling. The severity of mitral regurgitation is further aggravated by progressive left ventricular enlargement causing leaflet tethering and reduced systolic leaflet movement. The prognosis of ... Read more >>

Eur J Cardiothorac Surg (European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery)
[2019, 55(Supplement_1):i17-i25]

Cited: 1 time

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A Rare Case of Tetralogy of Fallot Associated with Pulmonary Artery Sling.

Seha Ahn, Cheul Lee,

Pulmonary artery sling is a rare congenital cardiac anomaly, in which the left pulmonary artery originates from the right pulmonary artery and courses leftward between the trachea and the esophagus. Tetralogy of Fallot associated with pulmonary artery sling is even rarer, and only a few cases have been reported in ... Read more >>

Korean J Thorac Cardiovasc Surg (The Korean journal of thoracic and cardiovascular surgery)
[2018, 51(5):360-362]

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