Rare combination of pulmonary sling and aberrant right subclavian artery with left aortic arch in the same infant

Although rare, vascular sling-ring complexes together in the same patient may be encountered. Once clinical complaints compatible with vascular ring anomalies are described, it should be kept in mind that more than one anomaly may be associated. By this case, the diagnostic and therapeutic course of pulmonary sling (PS) and aberrant right subclavian artery (ARSA) in an infant with breathing and feeding difficulties was presented.

Pediatric Airway and Mediastinum Radiology

Chapter 10 examines radiologic images for common and uncommon pediatric airway and mediastinal disorders. These include pediatric airway disorders such as epiglottitis, croup, exudative tracheitis, congenital tracheomalacia, obstructive sleep apnea, retropharyngeal abscess, esophageal atresia, and tracheoesophageal fistula. The chapter goes on to look at vascular impressions on the trachea and esophagus, including double aortic arch, aberrant right subclavian artery, right aortic arch with aberrant left subclavian artery, pulmonary sling, esophageal and tracheal foreign bodies, and bronchial foreign body. Mediastinal abnormalities examined include normal thymus and mediastinal masses. The chapter covers the clinical features and anatomy associated with these disorders as well as their diagnosis based on the radiologic imaging.

Pulmonary Sling: verification of prenatal diagnosis after 5 years

Results of postnatal verification of the case of prenatal diagnosis of the left pulmonary artery sling and literature review are presented.

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

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 report 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 discuss the diagnosis and management of pulmonary artery sling and present the successful use of laryngeal mask in difficult airway management.