Diagnosis and treatment of pulmonary artery sling

Zhao Lu; An Yong; Wu Chun; Pan Zhengxia; Li Yonggang; Yang Jiexian; Li Hongbo; Wang Gang; Dai Jiangtao; Lei Hongbo

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Diagnosis and treatment of pulmonary artery sling

更新时间：2023-12-18

- Diagnosis and treatment of pulmonary artery sling
- Journal of Chongqing Medical University Vol. 38, Issue 9, Pages: 1261-1263(2014)
- 作者机构：
  
  重庆医科大学附属儿童医院心胸外科、儿童发育疾病研究省部共建教育部重点实验室、儿科学重庆市重点实验室、重庆市儿童发育重大疾病诊治与预防国际科技合作基地,重庆,400014
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published：2014，
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Zhao Lu, An Yong, Wu Chun, et al. Diagnosis and treatment of pulmonary artery sling. [J]. Journal of Chongqing Medical University 38(9):1261-1263(2014)
DOI：

Zhao Lu, An Yong, Wu Chun, et al. Diagnosis and treatment of pulmonary artery sling. [J]. Journal of Chongqing Medical University 38(9):1261-1263(2014) DOI：

摘要

目的：探讨肺动脉吊带（pulmonary artery sling，PAS）的临床诊疗经验。方法：分析2009年 12月至2013年3月在重庆医科大学附属儿童医院心胸外科PAS患儿的临床资料。结果：16例PAS患儿于我科行手术治疗，所有患儿均以反复咳嗽、吼喘等呼吸道症状就诊，年龄2个月～3.5岁，体质量4.5～15 kg，按Cotton气管狭窄分期，Ⅰ期（管腔阻塞<70%）：14例，单纯行左肺动脉移植术，13例痊愈出院，1例死亡；Ⅱ期（管腔阻塞70%～90%）：0例，Ⅲ期（管腔阻塞>90%）：2例，行气管成形术，均死亡。结论：PAS患儿多为继发于异常走行血管压迫产生的Ⅰ期气管狭窄，不需要手术矫正气道狭窄；而合并Ⅱ、Ⅲ期气管狭窄，是否应积极行气管狭窄根治术，仍需进一步讨论。

Abstract

Objective：To discuss the diagnosis and treatment of pulmonary artery sling（PAS）. Methods：Sixteen patients who diagnosed as PAS and received surgery in department of cardiothoracic surgery in the Children’s Hospital of Chongqing Medical University Between December 2009 and March 2013 were enrolled. Results：Sixteen patients with PAS underwent the surgery and all cases had a history of recurrent cough and wheezing. The age of patients ranged from 2 months to 3.5 years and body weight ranged from 4.5 kg to 15 kg. According to Cotton standard，14 patients in phase Ⅰ only received re-implantation of the left pulmonary artery（LPA） and 13 recovered；2 patients with trachea stenosis in phase Ⅲ received tracheoplasty at the same time but all died. Conclusion：For most PAS patients with trachea stenosis in phase Ⅰ，only re-implantation of the LPA may result in good results. For the PAS with tra－chea stenosis in phase Ⅱ and Ⅲ，early tracheoplasty for trachea stenosis remains to be discussed further.

关键词

肺动脉吊带气管狭窄诊疗经验

Keywords

pulmonary artery slingtrachea stenosisexperiences of diagnosis and treatment

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Relationship between the diameter of trachea stenosis and the prognosis in patients with pulmonary artery sling

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Related Institution

Department of Critical Care Medicine,the Children’s Hospital of Chongqing Medical University

Department,Radiology,the Children’s Hospital of Chongqing Medical University

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