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Preoperative evaluation of the trachea in a child with pulmonary artery sling using 3-dimensional computed tomographic imaging and virtual bronchoscopy
Authors:Kagadis George C  Panagiotopoulou Eugenia C  Priftis Kostas N  Vaos George  Nikiforidis George C  Anthracopoulos Michael B
Affiliation:a Department of Medical Physics, School of Medicine, University of Patras, GR 26500 Rio, Greece
b Respiratory Unit, Department of Pediatrics, University of Patras, GR 26500 Rio, Greece
c Department of Allergology-Pulmonology, Penteli Children's Hospital, GR 15236 Athens, Greece
d Department of Pediatric Surgery, Penteli Children's Hospital, GR 15236 Athens, Greece
Abstract:
Pulmonary artery sling is frequently accompanied by tracheal anomalies other than local compression, including focal/segmental or extensive stenosis (ring-sling complex). Recent advances in computed tomography technology, such as multidetector computed tomography with 3-dimensional imaging (3-D) and virtual bronchoscopy (VB), offer important and accurate information of the entire tracheobronchial tree. We report on the value of 3-D imaging and VB in the preoperative assessment of a 4-year-old child with pulmonary artery sling and long segment tracheal stenosis owing to complete cartilaginous rings; we suggest that 3-D imaging and VB are important contributions in this assessment.
Keywords:Anomalous left pulmonary artery   Pulmonary artery sling   Ring-sling complex   Multidetector CT   Virtual bronchoscopy
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