Document Detail

Late banding operation in children with ventricular septal defect and pulmonary arterial hypertension.
MedLine Citation:
PMID:  1183472     Owner:  NLM     Status:  MEDLINE    
Since 1960 31 children, 2-10 years old, with large ventricular septal defects and pulmonary arterial hypertension, underwent pulmonary artery banding in Munich. 22 of these children were recatheterized 3-5 years after the operation. Only 8 of these children were shown to have a definite decrease in pressure distal to the band, and in only 2 of these children a reduction of pulmonary vascular resistance to values at the upper limit of normal could be shown. In the remaining children either little or no alteration and rarely even a definite increase of pulmonary vascular resistance was found. There was only a poor correlation between pressure changes and resistance changes. During preoperative catheterization oxygen breathing was shown to produce a more than 50% reduction in the pulmonary arterial pressure in 8 cases. Of these, only 5 showed a decrease of pulmonary vascular resistance after pulmonary artery banding. This decrease, however, was relatively small.
R Mocellin; K Bühlmeyer
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of cardiology     Volume:  3     ISSN:  0301-4711     ISO Abbreviation:  Eur J Cardiol     Publication Date:  1975 Oct 
Date Detail:
Created Date:  1976-01-23     Completed Date:  1976-01-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0404054     Medline TA:  Eur J Cardiol     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  205-11     Citation Subset:  IM    
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MeSH Terms
Child, Preschool
Heart Septal Defects, Ventricular / complications,  physiopathology,  surgery*
Hypertension, Pulmonary / complications,  physiopathology,  surgery*
Pulmonary Artery / surgery*
Vascular Resistance

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