Pulmonary Artery Sling

Heart With Pulmonary Artery Sling

An animation of a heart with pulmonary artery sling.

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Pulmonary Artery Sling is a rare variety of vascular compression. With Pulmonary Artery Sling (also known as an aberrant left pulmonary artery) the left pulmonary artery arises from the right pulmonary artery and passes between the trachea and esophagus to reach the left lung. Though Pulmonary Artery Sling does not impede blood flow through the heart it is often associated with severe tracheobronchial anomalies.

What Is Normal Cardiac Anatomy?

When your child has a congenital heart defect, there's usually something wrong with the structure of his or her heart's structure.

Learn More About Normal Cardiac Anatomy

Heart With Normal Cardiac Anatomy

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When your child has a congenital heart defect, there's usually something wrong with the structure of his or her heart's structure.

The heart is composed of four chambers. The two upper chambers, known as atria, collect blood as it flows back to the heart. The two lower chambers, known as ventricles, pump blood with each heartbeat to the two main arteries (the pulmonary artery and the aorta). The septum is the wall that divides the heart into right and left sides. The atrial septum separates the right and left atria; likewise, the ventricular septum separates the two ventricles.

There are four valves that control the flow of blood through the heart. These flap-like structures allow blood to flow in only one direction. The tricuspid and mitral valves, also known as the atrioventricular valves, separate the upper and lower chambers of the heart. The aortic and pulmonary valves, also known as the arterial valves, separate the ventricles from the main arteries. Oxygen-depleted blood returns from the body and drains into the right atrium via the superior and inferior vena cavas. The blood in the right atrium then passes through the tricuspid valve and enters the right ventricle.

Next, the blood passes through the pulmonary valve, enters the pulmonary artery, and travels to the lungs where it is replenished with oxygen. The oxygen-rich blood returns to the heart via the pulmonary veins, draining into the left atrium. The blood in the left atrium passes through the bicuspid, or mitral, valve and enters the left ventricle.

Finally, the oxygen-rich blood flows through the aortic valve into the aorta and out to the rest of the body.

A to Z: Atrial Flutter

A to Z: Atrial Flutter

Atrial (AY-tree-ul) flutter is an abnormal heart rhythm (arrhythmia) that causes the heart to beat too quickly.

More to Know

The electrical impulse that keeps the heart beating normally begins at a group of cells called the sinus node, located in the right atrium (one of the heart's upper chambers). With atrial flutter, however, the electrical impulse begins in a circuit that moves throughout the right atrium and causes the heart to beat rapidly and abnormally.

A rapid heartbeat can stress the heart and cause chest pain, palpitations, shortness of breath, fatigue, and low blood pressure.

Atrial flutter is often caused by damage to the heart or by congenital (present at birth) heart defects. Other causes include certain medications, viral infections, and metabolic disorders. In some cases, it happens for no apparent reason. It can also come and go.

A rapid heartbeat can increase the risk of stroke or heart disease, so should be treated. Treating the cause of atrial flutter can usually restore a normal heart rate. Medications can also help slow the heart or thin the blood to reduce the risk of stroke.

Keep in Mind

Though it can be serious, if atrial flutter is treated properly, most people can live perfectly normal lives, although some may have a relapse of the condition from time to time.

All A to Z dictionary entries are regularly reviewed by KidsHealth medical experts.

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Date reviewed: September 26, 2016