All issues > Volume 36(7); 1993

Case Report

J Korean Pediatr Soc. 1993;36(7):1034-1038. Published online July 15, 1993.

A Case of Vascular Sling

Jong Hyun JH Kim¹, Moon Soo MS Han¹, Jong Wan JW Kim¹, Joon Sung JS Lee¹, Hak Hee HH Kim²

¹Department of Pediatrics, Catholic University Medical College, Seoul, Korea
²Department of Radiology, Catholic University Medical College, Seoul, Korea

Abstract

Pulmonary artery sling is an uncommon and potentially lethal vascular anomaly that can produce airway obstruction. Despite the availibility of a corrective operation, the mortality rate remains very high due to the high incidence of associated obstructive anomalies of the tracheobronchial tree. We experienced a 70-day-old male infant who was admitted to our unit because of sudden dyspnea, cyanosis, coarse expiratory wheezing and inspiratory stridor. At first, he was treated with bronchodilator and steroid under the impression of infantile asthma, but the symptoms went on without interval change. We performed magnetic resonance imaging study followed esophagography and two dimensional echocardiography. Finally he was diagnosed as a vascular sling. We report this with a brief review and related literatures.

Keywords :Vascular sling