A new technique of percutaneously adjustable pulmonary artery banding

The Journal of Thoracic and Cardiovascular Surgery
Shiv Kumar ChoudharyPanangipalli Venugopal

Abstract

Pulmonary artery banding is associated with a high morbidity and mortality. We describe a new technique of adjustable pulmonary artery banding to prevent these problems. Between December 2003 and May 2005, 32 patients aged 18 days to 2 years (mean age, 2.5 +/- 0.5 months) and weighing 2.1 to 6.3 kg (mean, 3.6 +/- 1.3 kg) underwent adjustable pulmonary artery banding. All patients survived the operation. There were 2 deaths, one caused by meningitis and another caused by aspiration pneumonitis. Satisfactory band gradients were achieved between 3 and 10 days (7.2 +/- 2.6 days) in 3 to 6 sittings. Mean follow-up was 7.5 +/- 3.8 months (1-16 months). One patient required reoperation for unsatisfactory band gradient 2 weeks after discharge. There were no late deaths. Follow-up computed tomographic angiograms (n = 4) demonstrated proper band placement and ruled out distortion of the pulmonary arteries. Four patients underwent uneventful definitive operations after an interval of 7 to 13 months. This technique of percutaneously adjustable pulmonary artery banding is simple and inexpensive and allows easy band adjustments without the need for multiple reoperations.

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Citations

Nov 4, 2010·Pediatric Cardiology·Howaida El-SaidJohn Moore
Jun 19, 2008·Cardiology in the Young·Sachin TalwarArkalgud Sampath Kumar
Feb 21, 2016·Indian Heart Journal·Sachin TalwarBalram Airan
Jan 29, 2008·The Annals of Thoracic Surgery·Sachin TalwarAnita Saxena
Jan 29, 2008·The Annals of Thoracic Surgery·Antonio F Corno
Nov 21, 2007·The Journal of Thoracic and Cardiovascular Surgery·Antonio F CornoStephen Kerr
Aug 12, 2009·Congenital Heart Disease·Gareth J MorganRobin Martin
May 6, 2015·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Richard G OhyeJennifer C Hirsch-Romano
Feb 14, 2012·The Journal of Thoracic and Cardiovascular Surgery·Daniel J DibardinoEdward L Bove

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