Cardiovascular Medicine Book

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Vascular Ring

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

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

Concepts Congenital Abnormality (T019)
SnomedCT 253638007
English Origin LPA from RPA, pulmonary sling, Origin of left pulmonary artery from right pulmonary artery, Pulmonary sling, Origin of left pulmonary artery from right pulmonary artery (disorder)
Spanish origen en la arteria pulmonar derecha de la arteria pulmonar izquierda (trastorno), origen en la arteria pulmonar derecha de la arteria pulmonar izquierda
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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