Arzu BABAYİĞİT, Duygu ÖLMEZ, Nevin UZUNER, Özkan KARAMAN, Gül SAYLAM, Nurettin ÜNAL, Handan ÇAKMAKÇI

Tekrarlayan hışıltının nadir bir nedeni olarak pulmoner arter slingi

Pulmoner vasküler sling, sol pulmoner arterin sağ pulmoner arterden çıkıp trakea etrafında bir halka ve basıya neden olduğu çok nadir olarak rastlanan gelişimsel konjenital vasküler bir anomalidir. Burada; tekrarlayan hışıltı ve alt solunum yolu enfeksiyonları nedeni ile hastanemize gönderilen ve pulmoner vasküler sling tanısı almış 13 aylık bir erkek hasta sunuldu. Hastanın baryumlu özefagus grafısinde özefagus anterior lateral kesiminde indentasyon izlendi ve toraks manyetik rezonans görüntüleme ve anjiografi tetkikleri ile de pulmoner arter slingi tanısı doğrulandı. Operasyondan hemen sonra hastanın semptomları düzeldi. Sonuç olarak, tekrarlayan hışıltı ve alt solunum yolu enfeksiyonu olan çocuk hastalarda, pulmoner vasküler sling ayırıcı tanılar arasında düşünülmelidir.

Anahtar Kelimeler:

Pulmoner arter, Solunum sesleri, Çocuk, Pnömoni

Pulmonary sling as a rare cause of recurrent wheezing

Pulmonary vascular sling is a rare congenital condition in which the left pulmonary artery arises from the right pulmonary artery forming a sling around the trachea causing tracheal compression. We report a 13-month-old male patient with pulmonary vascular sling who was referred to our hospital because of recurrent wheezing and frequent lower respiratory tract infections. Barium-esophagography showed an indentation at the level of the anterior lateral segment of esophagus and thorax magnetic resonance imaging and angiography confirmed the diagnosis of pulmonary vascular sling. Relief of symptoms was achieved immediately after surgery. Therefore, in children with recurrent wheezing and lower respiratory tract infections, pulmonary vascular sling should be considered in the differential diagnosis.

Keywords:

Pulmonary Artery, Respiratory Sounds, Child, Pneumonia,

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