Document Detail

Staged repair of truncus arteriosus with interrupted aortic arch: adjustable pulmonary artery banding.
MedLine Citation:
PMID:  20172173     Owner:  NLM     Status:  MEDLINE    
We report a successful two-stage treatment for an infant with truncus arteriosus with aortic arch interruption. The treatment consisted of flow-adjustable bilateral pulmonary artery banding using clipping and postoperative balloon dilation, followed by staged repair. The merits of this strategy are as follows: (1) bilateral pulmonary artery banding is less invasive than neonatal one-stage repair; (2) use of cardiopulmonary bypass can be avoided in the newborn period; and (3) control of pulmonary blood flow adjusted for body size is possible. Although further studies are needed, our therapeutic strategy might provide a clinically important option for managing severe congenital heart disease.
Tohru Kobayashi; Takashi Miyamoto; Tomio Kobayashi; Kentaro Ikeda; Kyoko Koizuka; Hirotsugu Okamoto; Kagami Miyaji
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  89     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-22     Completed Date:  2010-03-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  973-5     Citation Subset:  AIM; IM    
Copyright Information:
2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Department of Pediatrics, Gunma University Graduate School of Medicine, Gunma, Japan.
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MeSH Terms
Aorta, Thoracic / abnormalities*,  surgery
Balloon Dilatation
Cardiovascular Surgical Procedures / methods*
Pulmonary Artery / surgery*
Truncus Arteriosus, Persistent / surgery*

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