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Bronchial Obstruction Secondary to an Aberrant Pulmonary Artery

Bronchial Obstruction Secondary to an Aberrant Pulmonary Artery Abstract There have been many reports of cardiovascular abnormalities which obstruct the respiratory organs in infants.1,8 According to Potts,6 the commonest anomaly described in the medical literature is that of persistent double aortic arch, in which one segment passes anterior to the trachea, the other posterior to the esophagus. The surgical treatment of this defect is now accepted, Gross4 having successfully resected a double aortic arch in 1945. A relatively rare abnormality, however, is an aberrant left pulmonary artery which compresses the right main bronchus. There are only nine of these cases in the literature,2,5,8-11 Contro et al. having recently reported three. Their successful treatment of one case2 indicates the possibility of correction if the condition is recognized early. Report of a Case A 3½-month-old white girl was first admitted to this hospital on March 21, 1955, with cyanosis and severe dyspnea. The infant, carried full References 1. Caro, C.; Lermanda, V. C., and Lyons, H. A.: Aortic Origin of the Right Pulmonary Artery , Brit. Heart J. 19:345, 1957.Crossref 2. Contro, S.; Miller, R. A.; White, H., and Potts, W. J.: Bronchial Obstruction Due to Pulmonary Artery Anomalies: I. Vascular Sling , Circulation 17:418, 1958.Crossref 3. Derrick, J. R., and Howard, J. M.: Emphysema of One Lung Associated with Atresia of the Contralateral Pulmonary Artery , Am. J. Surg. 94:784, 1957.Crossref 4. Gross, R. E.: Surgical Relief for Tracheal Obstruction from a Vascular Ring , New England J. Med. 233:586, 1945.Crossref 5. Morse, H. R., and Gladding, S.: Bronchial Obstruction Due to Misplaced Left Pulmonary Artery , A.M.A. Am. J. Dis. Child. 89:351, 1955. 6. Potts, W. J.: The Surgeon and the Child , Philadelphia, W. B. Saunders Company, 1959, p. 72. 7. Quist-Hanssen, S. V.: Mutual Compression of the Right Main Bronchus and an Abnormal Left Pulmonary Artery as Causes of the Death of a 7-Week-Old Child , Acta paediat. 37:87, 1949.Crossref 8. Scheid, P.: Missbildung des Trachealskelettes und der linken Arteria pulmonalis mit Erstickungstod bei 7 Monate altem Kind , Frankfurt. Ztschr. Path. 52:114, 1938. 9. Sherman, F. E.: Anomalous Course of Left Pulmonary Artery: A Cause of Obstructing Emphysema in Infants , J. Pediat. 54:93, 1959.Crossref 10. Welsh, T. M., and Munro, I. B.: Congenital Stridor Caused by an Aberrant Pulmonary Artery , Arch. Dis. Childhood , 29:101, 1954.Crossref 11. Wittenborg, M. H.; Tantiwongse, T., and Rosenberg, B. F.: Anomalous Course of Left Pulmonary Artery with Respiratory Obstruction , Radiology , 67:339, 1956.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Journal of Diseases of Children American Medical Association

Bronchial Obstruction Secondary to an Aberrant Pulmonary Artery

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Publisher
American Medical Association
Copyright
Copyright © 1960 American Medical Association. All Rights Reserved.
ISSN
0096-6916
DOI
10.1001/archpedi.1960.02070030832020
Publisher site
See Article on Publisher Site

Abstract

Abstract There have been many reports of cardiovascular abnormalities which obstruct the respiratory organs in infants.1,8 According to Potts,6 the commonest anomaly described in the medical literature is that of persistent double aortic arch, in which one segment passes anterior to the trachea, the other posterior to the esophagus. The surgical treatment of this defect is now accepted, Gross4 having successfully resected a double aortic arch in 1945. A relatively rare abnormality, however, is an aberrant left pulmonary artery which compresses the right main bronchus. There are only nine of these cases in the literature,2,5,8-11 Contro et al. having recently reported three. Their successful treatment of one case2 indicates the possibility of correction if the condition is recognized early. Report of a Case A 3½-month-old white girl was first admitted to this hospital on March 21, 1955, with cyanosis and severe dyspnea. The infant, carried full References 1. Caro, C.; Lermanda, V. C., and Lyons, H. A.: Aortic Origin of the Right Pulmonary Artery , Brit. Heart J. 19:345, 1957.Crossref 2. Contro, S.; Miller, R. A.; White, H., and Potts, W. J.: Bronchial Obstruction Due to Pulmonary Artery Anomalies: I. Vascular Sling , Circulation 17:418, 1958.Crossref 3. Derrick, J. R., and Howard, J. M.: Emphysema of One Lung Associated with Atresia of the Contralateral Pulmonary Artery , Am. J. Surg. 94:784, 1957.Crossref 4. Gross, R. E.: Surgical Relief for Tracheal Obstruction from a Vascular Ring , New England J. Med. 233:586, 1945.Crossref 5. Morse, H. R., and Gladding, S.: Bronchial Obstruction Due to Misplaced Left Pulmonary Artery , A.M.A. Am. J. Dis. Child. 89:351, 1955. 6. Potts, W. J.: The Surgeon and the Child , Philadelphia, W. B. Saunders Company, 1959, p. 72. 7. Quist-Hanssen, S. V.: Mutual Compression of the Right Main Bronchus and an Abnormal Left Pulmonary Artery as Causes of the Death of a 7-Week-Old Child , Acta paediat. 37:87, 1949.Crossref 8. Scheid, P.: Missbildung des Trachealskelettes und der linken Arteria pulmonalis mit Erstickungstod bei 7 Monate altem Kind , Frankfurt. Ztschr. Path. 52:114, 1938. 9. Sherman, F. E.: Anomalous Course of Left Pulmonary Artery: A Cause of Obstructing Emphysema in Infants , J. Pediat. 54:93, 1959.Crossref 10. Welsh, T. M., and Munro, I. B.: Congenital Stridor Caused by an Aberrant Pulmonary Artery , Arch. Dis. Childhood , 29:101, 1954.Crossref 11. Wittenborg, M. H.; Tantiwongse, T., and Rosenberg, B. F.: Anomalous Course of Left Pulmonary Artery with Respiratory Obstruction , Radiology , 67:339, 1956.Crossref

Journal

A.M.A. Journal of Diseases of ChildrenAmerican Medical Association

Published: Jun 1, 1960

References