Pulmonary Artery Sling Presenting as Pneumonia and Inhalation of a Foreign Body
Pulmonary artery sling is a rare cause of respiratory distress created by compression of the lower trachea and right mainstem bronchus due to an aberrant origin of the left pulmonary artery. The condition is frequently associated with recurrent respiratory infections and other congenital malformatio...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2019/8912136 |
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| _version_ | 1850237063914323968 |
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| author | Shujuan Luo Huaping Rao |
| author_facet | Shujuan Luo Huaping Rao |
| author_sort | Shujuan Luo |
| collection | DOAJ |
| description | Pulmonary artery sling is a rare cause of respiratory distress created by compression of the lower trachea and right mainstem bronchus due to an aberrant origin of the left pulmonary artery. The condition is frequently associated with recurrent respiratory infections and other congenital malformations including tracheal rings. We present the case of an infant presenting with pulmonary distress and a history of recurrent respiratory infection. The infant underwent surgery to remove a foreign object; however, the symptoms did not resolve. Bronchoscopy revealed bronchus stenosis, and subsequent echocardiogram and CT scans revealed the presence of a pulmonary artery sling. We prescribed infection prophylaxis with the immunomodulator OM-85 to mitigate the risk of further infections prior to surgery. PAS and bronchus stenosis were corrected successfully by surgical intervention leading to resolution of symptoms of respiratory distress and a reduction in the incidence of respiratory infection. |
| format | Article |
| id | doaj-art-026babde4e1b45e1bb666f34408af0ff |
| institution | OA Journals |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-026babde4e1b45e1bb666f34408af0ff2025-08-20T02:01:49ZengWileyCase Reports in Infectious Diseases2090-66252090-66332019-01-01201910.1155/2019/89121368912136Pulmonary Artery Sling Presenting as Pneumonia and Inhalation of a Foreign BodyShujuan Luo0Huaping Rao1Hunan Children’s Hospital, Changsha, ChinaHunan Children’s Hospital, Changsha, ChinaPulmonary artery sling is a rare cause of respiratory distress created by compression of the lower trachea and right mainstem bronchus due to an aberrant origin of the left pulmonary artery. The condition is frequently associated with recurrent respiratory infections and other congenital malformations including tracheal rings. We present the case of an infant presenting with pulmonary distress and a history of recurrent respiratory infection. The infant underwent surgery to remove a foreign object; however, the symptoms did not resolve. Bronchoscopy revealed bronchus stenosis, and subsequent echocardiogram and CT scans revealed the presence of a pulmonary artery sling. We prescribed infection prophylaxis with the immunomodulator OM-85 to mitigate the risk of further infections prior to surgery. PAS and bronchus stenosis were corrected successfully by surgical intervention leading to resolution of symptoms of respiratory distress and a reduction in the incidence of respiratory infection.http://dx.doi.org/10.1155/2019/8912136 |
| spellingShingle | Shujuan Luo Huaping Rao Pulmonary Artery Sling Presenting as Pneumonia and Inhalation of a Foreign Body Case Reports in Infectious Diseases |
| title | Pulmonary Artery Sling Presenting as Pneumonia and Inhalation of a Foreign Body |
| title_full | Pulmonary Artery Sling Presenting as Pneumonia and Inhalation of a Foreign Body |
| title_fullStr | Pulmonary Artery Sling Presenting as Pneumonia and Inhalation of a Foreign Body |
| title_full_unstemmed | Pulmonary Artery Sling Presenting as Pneumonia and Inhalation of a Foreign Body |
| title_short | Pulmonary Artery Sling Presenting as Pneumonia and Inhalation of a Foreign Body |
| title_sort | pulmonary artery sling presenting as pneumonia and inhalation of a foreign body |
| url | http://dx.doi.org/10.1155/2019/8912136 |
| work_keys_str_mv | AT shujuanluo pulmonaryarteryslingpresentingaspneumoniaandinhalationofaforeignbody AT huapingrao pulmonaryarteryslingpresentingaspneumoniaandinhalationofaforeignbody |