Pulmonary artery banding in infants with complex congenital heart defects |
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| Authors: | H N Oldham G S Kakos M M Jarmakani D C Sabiston |
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| Affiliation: | 1. The Department of Cardiology, Rabin Medical Center, Beilinson Hospital, Petah Tikva, Israel, affiliated with the Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel;2. Clinical Research, Development and Design Application and Research Center, Ataturk University School of Medicine, Erzurum, Turkey;3. Department of Anesthesiology and Reanimation, University of Health Sciences School of Medicine, Erzurum, Turkey;4. Department of Cardiovascular Surgery, Ataturk University School of Medicine, Erzurum, Turkey;1. Department of Cardiovascular and Thoracic Surgery, Loyola University Medical Center, Maywood, Illinois, USA;2. Department of Cardiac Surgery, Vanderbilt University Medical Center, Nashville, TN, USA;3. Department of Cardiothoracic Surgery, Newark Beth Israel Medical Center, Newark, NJ, USA;4. Department of Medicine, University of Washington Medical Center, Seattle, WA, USA;5. Department of Cardiac Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA;6. Department of Surgery, University of California San Francisco, San Francisco, CA, USA;7. Department of Medicine, University of California San Francisco, San Francisco, CA, USA;8. Department of Cardiovascular Medicine, Spectrum Health, Grand Rapids Michigan, MI, USA;9. Department of Cardiac Surgery, Spectrum Health, Grand Rapids Michigan, MI, USA;10. Department of Cardiothoracic Surgery, Mayo Clinic, Rochester, MN, USA;11. Department of Surgery, University of California, San Diego, La Jolla, CA, USA;12. Department of Medicine, University of California, San Diego, La Jolla, CA, USA;13. Department of MCS Clinical and Medical Affairs, Medtronic, Framingham, MA, USA;14. Division of Cardiothoracic Surgery, St. Paul''s Hospital, University of British Columbia, Vancouver, British Columbia, Canada;2. Department of Anesthesiology, Intensive Care Medicine and Pain Medicine, BG-Universitätsklinikum Bergmannsheil gGmbH, Medical Faculty of Ruhr University Bochum, Bürkle-de-la-Camp-Platz 1, Bochum, Germany;3. Department of Anesthesiology, Intensive Care, Emergency and Pain Medicine, University Hospital Wuerzburg, Wuerzburg, Germany;2. Department of Anesthesia and Intensive Care, the Chinese University of Hong Kong, Hong Kong, China;3. Division of Cardiothoracic Surgery, Department of Surgery, Prince of Wales Hospital, New Territories, Hong Kong, China |
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| Abstract: | ![]()
Pulmonary artery banding was performed in 60 patients with complex congenital heart defects, other than isolated ventricular septal defect, for treatment of high-output cardiac failure with a large left-to-right shunt and pulmonary hypertension. The average age at banding was 3.3 months. Half of the patients also had ligation of a patent ductus arteriosus, resection of coarctation, or creation of an atrial septal defect at the time of banding. Forty-one of the group survived banding; there was a higher survival rate in the patients 3 months of age or older. Twelve patients had catheterization studies performed after banding that demonstrated reduction in pulmonary artery pressure, decrease in the left-to-right shunt, no increase in pulmonary vascular resistance, and significant reduction in left ventricular end-diastolic volume and mass. Eight patients subsequently underwent additional palliative procedures with 7 survivors. Nine patients have had corrective operations performed, and 7 have survived. Pulmonary artery banding is an effective procedure in the staged treatment of infants with complex congenital heart defects. |
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