婴幼儿早期肺动脉悬吊伴喘鸣1例。

Q3 Medicine
Tanaffos Pub Date : 2022-02-01
Mohammad Reza Khalilian, Ramin Baghaei Tehrani, Ali Dabbagh, Saeed Sadr, Ali Reza Norouzi
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引用次数: 0

摘要

背景:肺动脉悬吊是一种罕见的左肺动脉异常起源于正常位置的右肺动脉的情况。左肺动脉起源于右主支气管前,在气管和食道之间,然后进入左肺门。呼吸系统症状如喘息、喘鸣、咳嗽和吞咽困难在这种异常中很常见。病例介绍:我们描述了一个16个月大的男婴,从婴儿期开始就表现为反复咳嗽、喘鸣和喘息。他接受了计算机断层血管造影、支气管镜检查和经胸超声心动图检查,确认了左肺动脉悬吊的诊断。成功进行了肺动脉悬吊的手术矫正,作为肺动脉主动脉与左肺动脉之间的新的吻合口,并进行了气管成形术。婴儿出院时没有出现任何并发症。两年后随访未发现呼吸道症状及进食困难。结论:在出现慢性咳嗽、喘鸣、反复喘息等长期呼吸道症状时,建议检查是否有肺动脉悬吊。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Pulmonary Artery Sling Associated with Stridor from Early Infancy: A Case Report.

Pulmonary Artery Sling Associated with Stridor from Early Infancy: A Case Report.

Pulmonary Artery Sling Associated with Stridor from Early Infancy: A Case Report.

Pulmonary Artery Sling Associated with Stridor from Early Infancy: A Case Report.

Background: Pulmonary artery sling is a rare condition in which the left pulmonary artery anomalously originates from a normally positioned right pulmonary artery. The left pulmonary artery arises anterior to the right main bronchus, courses between the trachea and esophagus then enters the left hilum. Respiratory symptoms such as wheezing, stridor, cough, and dysphasia are common in this anomaly.

Case presentation: We describe a 16-month-old male infant presenting recurrent cough, stridor, and wheezing from early infancy. He underwent computed tomography angiography, bronchoscopy, and transthoracic echocardiography, confirming the left pulmonary artery sling diagnosis. Surgical correction of pulmonary artery sling was successfully performed as a new anastomosis between the main pulmonary artery and the left pulmonary artery, as well as tracheoplasty. The infant was discharged without any complications. Follow-up after two years revealed no respiratory symptoms and feeding difficulty.

Conclusion: In the presence of chronic cough, stridor, recurrent wheezing, and other prolonged respiratory symptoms, investigation for possible detection of pulmonary artery sling is recommended.

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来源期刊
Tanaffos
Tanaffos Medicine-Critical Care and Intensive Care Medicine
CiteScore
1.10
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