{"title":"Clinical analysis of 145 cases of pediatric pulmonary artery sling diagnosed by echocardiography.","authors":"Xiaofang Liu, Qinghua Liu","doi":"10.1002/jcu.23837","DOIUrl":null,"url":null,"abstract":"<p><p>This study explored echocardiography's role in diagnosing and managing pediatric pulmonary artery sling (PAS). Data from 145 patients (January 2017 to December 2023) were analyzed, including echocardiography, CT angiography, bronchoscopy, and surgical records. Results indicated echocardiography accurately diagnosed PAS in 98.62% cases, with 1.38% misdiagnosed. Tracheal compression was common (95.86%), along with intracardiac anomalies (73.79%). Combined vascular ring types were found, notably PAS with left aortic arch and aberrant right subclavian artery (LAA-ARSA) and PAS with double aortic arch (DAA). Echocardiography's effectiveness underscores its crucial role in clinical management and surgical planning for these complex conditions.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Ultrasound","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/jcu.23837","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ACOUSTICS","Score":null,"Total":0}
引用次数: 0
Abstract
This study explored echocardiography's role in diagnosing and managing pediatric pulmonary artery sling (PAS). Data from 145 patients (January 2017 to December 2023) were analyzed, including echocardiography, CT angiography, bronchoscopy, and surgical records. Results indicated echocardiography accurately diagnosed PAS in 98.62% cases, with 1.38% misdiagnosed. Tracheal compression was common (95.86%), along with intracardiac anomalies (73.79%). Combined vascular ring types were found, notably PAS with left aortic arch and aberrant right subclavian artery (LAA-ARSA) and PAS with double aortic arch (DAA). Echocardiography's effectiveness underscores its crucial role in clinical management and surgical planning for these complex conditions.
本研究探讨了超声心动图在诊断和管理小儿肺动脉吊带术（PAS）中的作用。研究分析了145例患者（2017年1月至2023年12月）的数据，包括超声心动图、CT血管造影、支气管镜检查和手术记录。结果显示，98.62%的病例超声心动图准确诊断出PAS，误诊率为1.38%。气管受压（95.86%）和心内异常（73.79%）很常见。合并血管环类型也时有发生，尤其是伴有左主动脉弓和反常右锁骨下动脉（LAA-ARSA）的 PAS 和伴有双主动脉弓（DAA）的 PAS。超声心动图的有效性强调了它在这些复杂病症的临床管理和手术规划中的关键作用。
期刊介绍：
The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography.
The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents.
JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.
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