Sling de Artéria Pulmonar em Recém Nato: Relato de Caso/Pulmonary Artery Sling in Newborn Baby: Case Report
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Abstract
RESUMO
Introdução: Sling da artéria pulmonar, ou alça da artéria pulmonar é o nome que se dá a uma doença congênita, onde se forma um anel vascular incompleto que comprime estruturas importantes da região do mediastino. O quadro clínico pode ser desde assintomático podendo chegar ao óbito. Dos sintomáticos, mais da metade é diagnosticada logo nos primeiros meses de vida, porém nesses casos o quadro é geralmente leve e evolui de maneira lenta, porém progressiva. Estridor respiratório, tanto na inspiração quanto na expiração e cianose são sintomas comuns desses pacientes. Casuística: Esse projeto visa relatar um caso de Sling de artéria pulmonar, diagnosticado em um Hospital Escola do sul de Minas Gerais que se manifestou logo após o nascimento. Discussão: A criança em questão apresentou os sintomas clássicos da doença, porém devido sua raridade e variedade de diagnósticos diferenciais houve dificuldade em afirmar que se tratava de um Sling. Conclusão: Conclui-se que a doença foi diagnosticada e tratada a tempo e de maneira eficaz, embora fosse severa a gravidade do quadro apresentado pelo recém-nascido.
Palavras-chave: Anel vascular, Sling de artéria pulmonar, Estridor respiratório.
ABSTRACT
Introduction: Pulmonary artery sling or pulmonary artery handle is the name given to a congenital disease which forms an incomplete vascular ring that compresses important structures of the mediastinal region. The clinical picture may be from asymptomatic, experiencing mild cases turning to severe and even to death. More than half of symptomatic is diagnosed early in life, but in these cases the picture is generally mild and evolves slowly but progressively. Stridor, both in inspiration and in expiration and cyanosis are common symptoms of these patients. Case report: This project aims to report a case of pulmonary artery sling, diagnosed in a hospital school in southern Minas Gerais expressed just after birth. Discussion: The child presented classical symptoms of the disease, due to its rarity and another possible diagnosis was certain difficulty to be sure that it was a sling. Conclusion: The disease was diagnosed and treated on time and on the right way despite the severe gravity of the case presented by the newborn.
Keywords: Vascular ring, Pulmonary artery sling, Stridor
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