Liu Xiaofang, Liu Qinghua
Ultrasound Department, Children's Hospital Affiliated to Shandong University, Jinan, China.
J Clin Ultrasound. 2025 Jan;53(1):185-189. doi: 10.1002/jcu.23837. Epub 2024 Sep 20.
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小儿肺动脉吊带（PAS）诊断和管理中的作用。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。结果表明，超声心动图在98.62%的病例中准确诊断出PAS，误诊率为1.38%。气管受压很常见（95.86%），同时伴有心脏内异常（73.79%）。发现了合并血管环类型，特别是伴有左主动脉弓和迷走右锁骨下动脉的PAS（LAA-ARSA）以及伴有双主动脉弓的PAS（DAA）。超声心动图的有效性突显了其在这些复杂病症的临床管理和手术规划中的关键作用。
