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Pulmonary sling in a patient with common arterial trunk


1 Department of Congenital Heart Disease and Paediatric Cardiology, University Hospital Schleswig-Holstein, Kiel, Germany
2 Department of Radiology and Neuroradiology, University Hospital Schleswig-Holstein, Kiel, Germany
3 Department of Cardiovascular Surgery, University Hospital Schleswig-Holstein, Kiel, Germany

Correspondence Address:
Inga Voges
Department of Congenital Heart Disease and Paediatric Cardiology, Arnold.Heller.Street 3, University Hospital Schleswig-Holstein, Campus Kiel, Kiel
Germany
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_98_20

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Year : 2021  |  Volume : 14  |  Issue : 2  |  Page : 239-241

 

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We report a rare association of common arterial trunk with left pulmonary artery sling and highlight the importance of cross-sectional imaging in complex congenital cardiac lesions. The patient was antenatally diagnosed with common arterial trunk and underwent surgical repair in the neonatal period. At the age of 20 months, the patient presented with respiratory symptoms and increased right ventricular pressure. Multislice computed tomography demonstrated a pulmonary sling with compression of the distal trachea. Surgical correction of the pulmonary sling and change of the right ventricular to pulmonary artery conduit to a bigger size was performed.






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1 Department of Congenital Heart Disease and Paediatric Cardiology, University Hospital Schleswig-Holstein, Kiel, Germany
2 Department of Radiology and Neuroradiology, University Hospital Schleswig-Holstein, Kiel, Germany
3 Department of Cardiovascular Surgery, University Hospital Schleswig-Holstein, Kiel, Germany

Correspondence Address:
Inga Voges
Department of Congenital Heart Disease and Paediatric Cardiology, Arnold.Heller.Street 3, University Hospital Schleswig-Holstein, Campus Kiel, Kiel
Germany
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_98_20

Rights and Permissions

We report a rare association of common arterial trunk with left pulmonary artery sling and highlight the importance of cross-sectional imaging in complex congenital cardiac lesions. The patient was antenatally diagnosed with common arterial trunk and underwent surgical repair in the neonatal period. At the age of 20 months, the patient presented with respiratory symptoms and increased right ventricular pressure. Multislice computed tomography demonstrated a pulmonary sling with compression of the distal trachea. Surgical correction of the pulmonary sling and change of the right ventricular to pulmonary artery conduit to a bigger size was performed.






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