We report on a 2-month-old infant girl who had right pulmonary agenesis and
an unusual course of the left pulmonary artery. Computed tomography and ca
rdiac catheterization showed that the left pulmonary artery arose from the
main pulmonary artery, crossing the midline, and reaching the left lung via
an aberrant course between the esophagus and trachea. The coexistence of r
ight pulmonary agenesis and left pulmonary sling is extremely rare. Unlike
in other reports, our patient remained symptom-free and in good health, wit
h normal growth and development until age 2 years, when she died from compl
ications during an attack of bronchiolitis caused by respiratory syncytial
virus. Pediatr Pulmonol, 2000; 29:239-241. (C) 2000 Wiley-Liss, Inc.