Cardiovascular Medicine Book

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Vascular RingAka: Vascular Sling, Pulmonary Sling

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  1. See also
    1. Congenital Heart Disease
    2. Congenital Heart Disease Causes
  2. Pathophysiology
    1. Large vessels apply local pressure
      1. Compress trachea and bronchial tree
      2. Compress esophagus
  3. Causes
    1. Double aortic arch
    2. Aberrant innominate artery
    3. Right aortic arch
    4. Pulmonary sling
  4. Signs
    1. Low pitched inspiratory and expiratory gargling sounds
    2. Inspiratory Stridor
    3. Expiratory Wheezes
    4. Obstructive Sleep Apnea
    5. Sounds present since birth
      1. Established over first month of life
      2. Parent may not be aware of sounds
    6. Provocative maneuvers that increase Dyspnea
      1. Neck flexion
    7. Palliative maneuvers that decrease Dyspnea
      1. Neck extension
  5. Radiology
    1. Chest XRay
      1. Note aortic arch location (right or left)
      2. Note tracheal caliber
    2. Barium swallow
      1. Note Esophageal indentation
  6. Diagnostics
    1. Bronchoscopy
    2. Angiography
  7. Course
    1. Respiratory symptoms worsen with increased age, size
  8. Management
    1. Requires surgery
  9. Complications
    1. Obstructive Sleep Apnea
    2. Tracheomalacia

Origin of left pulmonary artery from right pulmonary artery (C0345041)

ConceptsCongenital Abnormality (T019)
EnglishOrigin of left pulmonary artery from right pulmonary artery, Pulmonary sling
Spanishorigen en la arteria pulmonar derecha de la arteria pulmonar izquierda
Parent ConceptsAbnormal origin of left pulmonary artery (C0345038)
SourcesSCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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