The authors report on 4 infants with the diagnosis of pulmonary sling who were operated in their hospital, and they subsequently review the literature. Considering the poor prognosis of the anomaly, especially when associated with tracheobronchial abnormalities, controversies persist about its management. The authors believe that a conservative approach to these patients cannot improve its prognosis, whereas new surgical technics show promise, and to this end they propose a more aggressive treatment algorithm.
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