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Radiology, Vol 152, 57-64, Copyright © 1984 by Radiological Society of North America

ARTICLES

Complete cartilage-ring tracheal stenosis associated with anomalous left pulmonary artery: the ring-sling complex

WE Berdon, DH Baker, JT Wung, A Chrispin, K Kozlowski, M de Silva, P Bales and B Alford

The persistent high mortality in infants with pulmonary artery "sling" (retrotracheal anomalous left pulmonary artery) is primarily due to the coexistence in such patients of long-segment tracheal stenosis due to complete cartilage rings. Five such patients are reported. Airway studies (by filtered high-kV radiography, bronchography, and/or CT) showed low carina, horizontal equal-length right and left mainstem bronchi, and long-segment tracheal stenosis. The length of the stenosis far exceeded the contact with the pulmonary sling. The suggested term "ring-sling complex" for such patients correctly places emphasis on detection of the tracheal malformation, which currently has no satisfactory surgical treatment.


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