Benefits of Balloon-Dilatable Bilateral Pulmonary Artery Banding in Patients With Hypoplastic Left Heart Syndrome and Other Complex Cardiac Anomalies

Journal of Interventional Cardiology
Hiroaki KiseKanji Sugita


The purpose of this study was to evaluate the potential of balloon-dilatable bilateral pulmonary artery banding (b-PAB) and its impact on the configuration of the pulmonary artery (PA). We have previously used balloon-dilatable b-PAB as first-stage palliation for patients with hypoplastic left heart syndrome (HLHS) and other complex cardiac anomalies. Two pliable tapes were placed around each branch of the PA and tightened with 7-0 polypropylene sutures in a manner that allowed for the subsequent adjustment of PA diameters. We retrospectively examined the adjustability of PA diameters by balloon dilation and the need for surgical PA angioplasty at later stages. From January 2010 to October 2013, we performed b-PAB in 8 patients, including 3 borderline cases between biventricular repair (BVR) and univentricular repair (UVR). The b-PAB procedures were performed at a median age of 6.5 days (range, 2-10 days). Balloon dilations were performed in 10 lesions in 4 patients. All of the procedures were performed safely. Two patients reached definite BVR. The remaining 6 patients underwent open palliative procedures with univentricular physiologies that resulted in 2 deaths unrelated to the initial b-PAB. In all but 1 of the patients, th...Continue Reading


Aug 23, 2000·Circulation·G WernovskyJ W Newburger
Jun 30, 2004·The Annals of Thoracic Surgery·Steven S L TsuiRoss M Ungerleider
Jan 10, 2006·The Journal of Thoracic and Cardiovascular Surgery·Emile A BachaZiyad M Hijazi
May 30, 2006·The Annals of Thoracic Surgery·Tain-Yen Hsia, Peter J Gruber
Mar 3, 2007·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Edward J HickeyRoss M Ungerleider
Sep 21, 2010·The Journal of Thoracic and Cardiovascular Surgery·Kazuo KitahoriMinoru Ono
Dec 19, 2012·The Journal of Thoracic and Cardiovascular Surgery·Kristine J GuleserianJoseph M Forbess
Oct 17, 2013·The Journal of Thoracic and Cardiovascular Surgery·Marcello GomideVictor T Tsang
Nov 28, 2013·The Journal of Thoracic and Cardiovascular Surgery·Ryan R DaviesChristian Pizarro
Dec 7, 2013·General Thoracic and Cardiovascular Surgery·Yorikazu Harada
Jan 15, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Hitendu DaveOliver Kretschmar
Jan 30, 2014·The Journal of Thoracic and Cardiovascular Surgery·Noritaka OtaKisaburo Sakamoto
Feb 3, 2015·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Shinsuke HoshinoKoji Kagisaki

❮ Previous
Next ❯

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.