Is routine rapid-staged bilateral pulmonary artery banding before stage 1 Norwood a viable strategy?

The Journal of Thoracic and Cardiovascular Surgery
Noritaka OtaKisaburo Sakamoto

Abstract

We adopted a policy of rapid-staged bilateral pulmonary artery banding (bPAB) before the Norwood (NW) procedure for all patients with hypoplastic left heart syndrome. We hypothesized that this strategy might mitigate some of the traditional risk factors and that postponing a major bypass procedure beyond the newborn period could have both short- and long-term benefits. The purpose of the present study was to evaluate the efficacy of this strategy with respect to the short-term outcomes. From 2008 to 2010, 14 patients underwent bPAB and maintenance of ductal patency with prostaglandin E1 infusion before stage 1 NW. For reference, we also reviewed the data from patients who had undergone the primary NW procedure in the 2 years immediately before the study period. The bPAB was performed at a median age of 6 days (range, 2-39), gestational age of 38.5 weeks (range, 36-41), and weight of 2.75 kg (range, 2.3-3.6). The subsequent NW was performed at a gestational age of 43.5 weeks (range, 41-51) and weight of 3.2 kg (range, 2.2-4.9). When the NW procedure was eventually performed on the pBAB group, the maximum blood lactate levels within the first 24 hours after the NW were lower than those in the earlier primary NW group (2.8±0.9 vs ...Continue Reading

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Citations

Jan 26, 2016·The Journal of Thoracic and Cardiovascular Surgery·Harold M BurkhartTimothy J Nelson
Jun 10, 2015·The Journal of Thoracic and Cardiovascular Surgery·Mohamed S NassarTarique Hussain
Apr 26, 2016·Circulation Journal : Official Journal of the Japanese Circulation Society·Shu-Chien HuangIng-Sh Chiu
Mar 13, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Ai SugimotoKisaburo Sakamoto
Mar 17, 2018·World Journal for Pediatric & Congenital Heart Surgery·Jacob Y CaoDavid S Winlaw
Jan 26, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Noritaka OtaHironori Izutani
Mar 19, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Takashi YasukawaHajime Ichikawa
Sep 25, 2017·Pediatric Cardiology·Yasutaka HirataShinichi Takamoto
Apr 5, 2020·The Annals of Thoracic Surgery·Ryuma IwakiYoshihiro Oshima
Apr 20, 2021·Pediatric Cardiology·Dietmar SchranzHakan Akintuerk
Jul 23, 2021·General Thoracic and Cardiovascular Surgery·Hiroshi KoshiyamaYusuke Iwata

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