Left pulmonary artery sling

Case contributed by Mohamed Salah Ayyad
Diagnosis certain

Presentation

Stridor and recurrent chest infection.

Patient Data

Age: 5 months
Gender: Female
ct

The left pulmonary artery exhibits an abnormal origin from the right pulmonary artery, forming an incomplete ring between the trachea just above the carina and the esophagus. Multiple patches of consolidation are scattered across both lung fields (Inflammatory).

3D volume rendering

ct

The lower half of the trachea is markedly deviated to the other side. There is an abrupt narrowing of the tracheal lumen at the site of the abnormal passage of the left pulmonary artery.

Case Discussion

The aberrant origin of the left pulmonary artery from the right is one of the rare causes of vascular ring anomalies in pediatrics. This is a case of a symptomatic vascular ring as a result of the tracheal compression by the abnormal course of the left pulmonary artery.

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