Evaluation of perioperative management of seven patients with pulmonary artery sling in recent seven years

Ryota Sakaguchi, Wataru Takayama, Hiroka Yoshikawa, Tomomi Ueda, Akiko Nihara, Shinichi Yamamoto, Junichi Masuda

Research output: Contribution to journalArticle

Abstract

Background : Pulmonary artery sling (PA sling) is a rare vascular anomaly in which the left pulmonary artery arises from the right pulmonary artery. It can cause compression of trachea. Due to its rarity, risk factors influencing postsurgical outcome are still unclear. The purpose of our study is to investigate past cases of PA sling to clarify risk factors. Methods : We investigated 7 patients who had undergone one-stage operation of PA sling from 2001 to 2007. Hospital stay, ICU stay and length of artificial ventilation are set as primary outcome. Patients' weight, range of tracheal stenosis, operation time, cardiopulmonary bypass time, presence of tracheal stenosis, bronchial anomaly, preoperative intubation, intracardiac anomaly and postoperative re-intubation were compared. Results : In-hospital mortality was none. Two cases in patients with tracheomalacia were re-intubated. Concomitant tracheoplasty was performed in six patients. Two patients with intracardiac anomaly underwent cardiac operation. No factor except tracheomalacia affected primary outcome. Conclusions : We need more cases to clarify factors affecting outcome of patients with PA sling. However, existence of tracheomalacia is found to be a risk factor of longer artificial ventilation.

Original languageEnglish
Pages (from-to)1479-1482
Number of pages4
JournalJapanese Journal of Anesthesiology
Volume59
Issue number12
Publication statusPublished - 2010 Dec

Fingerprint

Pulmonary Artery
Tracheomalacia
Tracheal Stenosis
Intubation
Length of Stay
Hospital Mortality
Trachea
Cardiopulmonary Bypass
Blood Vessels
Weights and Measures

Keywords

  • Pediatric anesthesia
  • Pediatric cardiac anesthesia
  • Pediatric intensive care

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Sakaguchi, R., Takayama, W., Yoshikawa, H., Ueda, T., Nihara, A., Yamamoto, S., & Masuda, J. (2010). Evaluation of perioperative management of seven patients with pulmonary artery sling in recent seven years. Japanese Journal of Anesthesiology, 59(12), 1479-1482.

Evaluation of perioperative management of seven patients with pulmonary artery sling in recent seven years. / Sakaguchi, Ryota; Takayama, Wataru; Yoshikawa, Hiroka; Ueda, Tomomi; Nihara, Akiko; Yamamoto, Shinichi; Masuda, Junichi.

In: Japanese Journal of Anesthesiology, Vol. 59, No. 12, 12.2010, p. 1479-1482.

Research output: Contribution to journalArticle

Sakaguchi, R, Takayama, W, Yoshikawa, H, Ueda, T, Nihara, A, Yamamoto, S & Masuda, J 2010, 'Evaluation of perioperative management of seven patients with pulmonary artery sling in recent seven years', Japanese Journal of Anesthesiology, vol. 59, no. 12, pp. 1479-1482.
Sakaguchi R, Takayama W, Yoshikawa H, Ueda T, Nihara A, Yamamoto S et al. Evaluation of perioperative management of seven patients with pulmonary artery sling in recent seven years. Japanese Journal of Anesthesiology. 2010 Dec;59(12):1479-1482.
Sakaguchi, Ryota ; Takayama, Wataru ; Yoshikawa, Hiroka ; Ueda, Tomomi ; Nihara, Akiko ; Yamamoto, Shinichi ; Masuda, Junichi. / Evaluation of perioperative management of seven patients with pulmonary artery sling in recent seven years. In: Japanese Journal of Anesthesiology. 2010 ; Vol. 59, No. 12. pp. 1479-1482.
@article{87e331e4886c4829b0fc3c19cc1dc88b,
title = "Evaluation of perioperative management of seven patients with pulmonary artery sling in recent seven years",
abstract = "Background : Pulmonary artery sling (PA sling) is a rare vascular anomaly in which the left pulmonary artery arises from the right pulmonary artery. It can cause compression of trachea. Due to its rarity, risk factors influencing postsurgical outcome are still unclear. The purpose of our study is to investigate past cases of PA sling to clarify risk factors. Methods : We investigated 7 patients who had undergone one-stage operation of PA sling from 2001 to 2007. Hospital stay, ICU stay and length of artificial ventilation are set as primary outcome. Patients' weight, range of tracheal stenosis, operation time, cardiopulmonary bypass time, presence of tracheal stenosis, bronchial anomaly, preoperative intubation, intracardiac anomaly and postoperative re-intubation were compared. Results : In-hospital mortality was none. Two cases in patients with tracheomalacia were re-intubated. Concomitant tracheoplasty was performed in six patients. Two patients with intracardiac anomaly underwent cardiac operation. No factor except tracheomalacia affected primary outcome. Conclusions : We need more cases to clarify factors affecting outcome of patients with PA sling. However, existence of tracheomalacia is found to be a risk factor of longer artificial ventilation.",
keywords = "Pediatric anesthesia, Pediatric cardiac anesthesia, Pediatric intensive care",
author = "Ryota Sakaguchi and Wataru Takayama and Hiroka Yoshikawa and Tomomi Ueda and Akiko Nihara and Shinichi Yamamoto and Junichi Masuda",
year = "2010",
month = "12",
language = "English",
volume = "59",
pages = "1479--1482",
journal = "Japanese Journal of Anesthesiology",
issn = "0021-4892",
publisher = "Kokuseido Publishing Co. Ltd",
number = "12",

}

TY - JOUR

T1 - Evaluation of perioperative management of seven patients with pulmonary artery sling in recent seven years

AU - Sakaguchi, Ryota

AU - Takayama, Wataru

AU - Yoshikawa, Hiroka

AU - Ueda, Tomomi

AU - Nihara, Akiko

AU - Yamamoto, Shinichi

AU - Masuda, Junichi

PY - 2010/12

Y1 - 2010/12

N2 - Background : Pulmonary artery sling (PA sling) is a rare vascular anomaly in which the left pulmonary artery arises from the right pulmonary artery. It can cause compression of trachea. Due to its rarity, risk factors influencing postsurgical outcome are still unclear. The purpose of our study is to investigate past cases of PA sling to clarify risk factors. Methods : We investigated 7 patients who had undergone one-stage operation of PA sling from 2001 to 2007. Hospital stay, ICU stay and length of artificial ventilation are set as primary outcome. Patients' weight, range of tracheal stenosis, operation time, cardiopulmonary bypass time, presence of tracheal stenosis, bronchial anomaly, preoperative intubation, intracardiac anomaly and postoperative re-intubation were compared. Results : In-hospital mortality was none. Two cases in patients with tracheomalacia were re-intubated. Concomitant tracheoplasty was performed in six patients. Two patients with intracardiac anomaly underwent cardiac operation. No factor except tracheomalacia affected primary outcome. Conclusions : We need more cases to clarify factors affecting outcome of patients with PA sling. However, existence of tracheomalacia is found to be a risk factor of longer artificial ventilation.

AB - Background : Pulmonary artery sling (PA sling) is a rare vascular anomaly in which the left pulmonary artery arises from the right pulmonary artery. It can cause compression of trachea. Due to its rarity, risk factors influencing postsurgical outcome are still unclear. The purpose of our study is to investigate past cases of PA sling to clarify risk factors. Methods : We investigated 7 patients who had undergone one-stage operation of PA sling from 2001 to 2007. Hospital stay, ICU stay and length of artificial ventilation are set as primary outcome. Patients' weight, range of tracheal stenosis, operation time, cardiopulmonary bypass time, presence of tracheal stenosis, bronchial anomaly, preoperative intubation, intracardiac anomaly and postoperative re-intubation were compared. Results : In-hospital mortality was none. Two cases in patients with tracheomalacia were re-intubated. Concomitant tracheoplasty was performed in six patients. Two patients with intracardiac anomaly underwent cardiac operation. No factor except tracheomalacia affected primary outcome. Conclusions : We need more cases to clarify factors affecting outcome of patients with PA sling. However, existence of tracheomalacia is found to be a risk factor of longer artificial ventilation.

KW - Pediatric anesthesia

KW - Pediatric cardiac anesthesia

KW - Pediatric intensive care

UR - http://www.scopus.com/inward/record.url?scp=78650914783&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=78650914783&partnerID=8YFLogxK

M3 - Article

C2 - 21229685

AN - SCOPUS:78650914783

VL - 59

SP - 1479

EP - 1482

JO - Japanese Journal of Anesthesiology

JF - Japanese Journal of Anesthesiology

SN - 0021-4892

IS - 12

ER -