Interposition Pericardial Flap After Slide Tracheoplasty in Pulmonary Artery Sling Complex Igor E. Konstantinov, MD, PhD, Yves d'Udekem, MD, PhD, Pankaj.

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Interposition Pericardial Flap After Slide Tracheoplasty in Pulmonary Artery Sling Complex Igor E. Konstantinov, MD, PhD, Yves d'Udekem, MD, PhD, Pankaj Saxena, MCh, DNB The Annals of Thoracic Surgery Volume 89, Issue 1, Pages 289-291 (January 2010) DOI: 10.1016/j.athoracsur.2009.05.080 Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Computed tomographic scan demonstrates long-segment tracheobronchial narrowing with rudimentary stump of the bronchus sui, and (B) the pulmonary artery sling complex. The left pulmonary artery sling in combination with left ligamentum arteriosus caused compression of the trachea. The Annals of Thoracic Surgery 2010 89, 289-291DOI: (10.1016/j.athoracsur.2009.05.080) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Division of the ligamentum arteriosus and reimplantation of both branch pulmonary arteries into the main pulmonary artery. (B) A broad flap of the anterior pericardium was harvested and passed through the transverse sinus, and (C) partially wrapped in front of the trachea, separating the tracheobronchial tree from the brachiocephalic artery, left carotid artery, ascending aorta, and pulmonary arteries. The Annals of Thoracic Surgery 2010 89, 289-291DOI: (10.1016/j.athoracsur.2009.05.080) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions