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Case 50 - Pulmonary sling

Published online by Cambridge University Press:  07 October 2011

Thomas Hartman
Affiliation:
Mayo Clinic, Rochester
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Summary

Imaging description

In pulmonary sling, the left pulmonary artery arises from the right pulmonary artery. The anomalous left pulmonary artery passes posteriorly, between the trachea and esophagus, to supply the left lung (Figure 50.1) [1–3]. Pulmonary sling is associated with the presence of complete tracheal rings in 50–65% of cases [2]. The complete rings are usually narrowed. This constellation of findings is known as ring-sling complex and can cause life-threatening respiratory complications in infants.

Importance

While rare in asymptomatic adults, pulmonary sling may mimic a mediastinal mass on chest radiograph.

Type
Chapter
Information
Pearls and Pitfalls in Thoracic Imaging
Variants and Other Difficult Diagnoses
, pp. 132 - 133
Publisher: Cambridge University Press
Print publication year: 2011

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References

Castañer, EGallardo, XRimola, JCongenital and acquired pulmonary artery anomalies in the adult: radiologic overviewRadiographics 2006 26 349CrossRefGoogle ScholarPubMed
Fiore, ACBrown, JWWeber, TRTurrentine, MW.Surgical treatment of pulmonary artery sling and tracheal stenosisAnn Thorac Surg 2005 79 38CrossRefGoogle ScholarPubMed
Zylak, CJEyler, WRSpizarny, DLStone, CH.Developmental lung anomalies in the adult: radiologic-pathologic correlationRadiographics 2002 22 S25CrossRefGoogle ScholarPubMed

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