| Efficacy of intraluminal pulmonary artery banding. | |
| | |
MedLine Citation:
|
PMID: 15746737 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: The extraluminal technique of pulmonary artery banding can be difficult to perform precisely in conjunction with cardiopulmonary bypass and is associated with a significant risk of band-related complications. We analyzed our results with an intraluminal technique of pulmonary artery banding in patients who required cardiopulmonary bypass for the performance of associated cardiac repairs. METHODS: The medical records of 18 neonates and infants who underwent intraluminal pulmonary artery banding were retrospectively reviewed. A circular patch with a 3.0-mm, 3.6-mm, or 4.0-mm diameter fenestration was sutured to the inner circumference of the main pulmonary artery. Preoperative, intraoperative, and postoperative variables were reviewed to assess the efficacy and safety of the intraluminal technique. RESULTS: Intraluminal pulmonary artery banding produced a consistent and significant reduction in the systolic pulmonary artery pressure (64.00 +/- 12.24 to 16.53 +/- 6.33 mm Hg, P < .001), the systolic pulmonary artery pressure/systolic systemic pressure ratio (0.91 +/- 0.10 to 0.19 +/- 0.07, P < .001), and the pulmonary flow/systemic flow ratio (4.32 +/- 3.04 to 0.91 +/- 0.49, P = .015). There were no band-related anatomic complications. Two patients did require percutaneous dilation of the intraluminal pulmonary artery band before debanding to palliate systemic arterial desaturation. CONCLUSIONS: Intraluminal pulmonary artery banding is an effective palliative procedure that can be used in patients who require cardiopulmonary bypass for the performance of cardiac repairs in addition to placement of the pulmonary artery band. |
| | |
Authors:
|
Vitaly V Piluiko; Jeffrey A Poynter; Hassan Nemeh; Ronald L Thomas; Thomas J Forbes; Ralph E Delius; Henry L Walters |
Related Documents
:
|
11899217 - Three-decade follow-up in pulmonary artery ectasia: risk assessment strategy. 19369577 - Analysis of pulmonary vasodilator responses to sb-772077-b [4-(7-((3-amino-1-pyrrolidin... 15052197 - Regression of postobstructive vasculopathy after revascularization of chronically obstr... 2716177 - Severity of cardiac failure from the standpoint of pulmonary circulation: studies cente... 18070307 - Spatial and topologic distribution of verapamil-sensitive atrial tachycardia originatin... 11565307 - Unusual giant patent ductus arteriosus associated with ventricular septal defect and di... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Journal of thoracic and cardiovascular surgery Volume: 129 ISSN: 0022-5223 ISO Abbreviation: J. Thorac. Cardiovasc. Surg. Publication Date: 2005 Mar |
Date Detail:
|
Created Date: 2005-03-04 Completed Date: 2005-04-19 Revised Date: 2005-11-03 |
Medline Journal Info:
|
Nlm Unique ID: 0376343 Medline TA: J Thorac Cardiovasc Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 544-50 Citation Subset: AIM; IM |
Affiliation:
|
Department of Cardiovascular Surgery, Children's Hospital of Michigan, Wayne State University School of Medicine, Detroit 48201, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Balloon Dilatation Blood Pressure Cardiopulmonary Bypass* Heart Defects, Congenital / physiopathology, surgery* Humans Infant Infant, Newborn Oxygen / blood Palliative Care Pulmonary Artery / physiopathology, surgery* Retrospective Studies |
| Chemical | |
Reg. No./Substance:
|
7782-44-7/Oxygen |
| Comments/Corrections | |
Comment In:
|
J Thorac Cardiovasc Surg. 2005 Sep;130(3):952; author reply 952
[PMID:
16153984
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The effect of bilateral internal thoracic artery harvesting on superficial and deep sternal infectio...
Next Document: Complex aortic valve repair as a durable and effective alternative to valve replacement in children ...