ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Michael D. Horowitz
Walter S. Culpepper, III
John L. Ochsner
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Horowitz, M. D.
Right arrow Articles by Ochsner, J. L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Horowitz, M. D.
Right arrow Articles by Ochsner, J. L.

Ann Thorac Surg 1989;48:444-450
© 1989 The Society of Thoracic Surgeons

Articles

Pulmonary Artery Banding: Analysis of a 25-Year Experience

Michael D. Horowitz, MD**, Walter S. Culpepper, III, MD, Luther C. Williams, III, MD, Kirsten Sundgaard-Riise, MS, John L. Ochsner, MD*

Departments of Surgery and Pediatrics, Ochsner Clinic and Alton Ochsner Medical Foundation, New Orleans, Louisiana

* Address reprint requests to Dr Ochsner, Ochsner Clinic, 1514 Jefferson Highway, New Orleans, Louisiana 70121
** Dr Horowitz's current address is Division of Thoracic and Cardiovascular Surgery, University of Miami School of Medicine, PO Box 016960 (R-114), Miami, FL 33101

A 25-year experience (May 1962 through April 1987) with pulmonary artery banding in 183 patients was reviewed and analyzed. Pulmonary artery banding was performed in a heterogenous group of patients aged two days to 60 months (median, 10 weeks; mean, 21.8 weeks) and weighing 1.4 to 13.8 kg (mean, 4.2 kg). Diagnosis was ventricular septal defect in 76 (41.5%) and atrioventricular communis in 41 (22.4%). Pulmonary artery banding was also used in patients with d-transposition of the great vessels with ventricular septal defect, double-outlet right ventricle, univentricular heart, tricuspid atresia, and truncus arteriosus. Early death occurred in 39 of 175 patients who underwent pulmonary artery banding at Ochsner Foundation Hospital (22.3%). Definitive operation has been performed in 37 of the patients who underwent pulmonary artery banding since 1979 with excellent outcome in 32 (86.5%). Pulmonary artery banding is a useful palliative procedure for a diverse group of patients with congenital cardiac anomalies and unrestricted pulmonary blood flow. With improved results of primary repair of intracardiac anomalies in small infants, however, pulmonary artery banding should be reserved for severely ill patients with complex lesions not amenable to early definitive correction. Currently, pulmonary artery banding is indicated in patients with excessive pulmonary blood flow and single ventricle or tricuspid atresia. Pulmonary artery banding is also appropriate in certain patients with atrioventricular communis and in patients with muscular or multiple ventricular septal defects. Pulmonary artery banding is an option in patients with ventricular septal defect and coarctation of the aorta.




This article has been cited by other articles:


Home page
 World Journal for Pediatric and Congenital Heart SurgeryHome page
A. D'Alfonso, A. Quarti, M. Colaneri, A. Baldinelli, and M. Pozzi
Pulmonary Artery Banding: When Is the Use of a Telemetrically Adjustable Device Indicated?
World Journal for Pediatric and Congenital Heart Surgery, July 1, 2010; 1(2): 232 - 239.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
S. Talwar, S. K. Choudhary, A. Mathur, B. Airan, R. Singh, R. Juneja, S. S. Kothari, and A. Saxena
Changing Outcomes of Pulmonary Artery Banding With the Percutaneously Adjustable Pulmonary Artery Band
Ann. Thorac. Surg., February 1, 2008; 85(2): 593 - 598.
[Abstract] [Full Text] [PDF]

Home page
 Eur J Cardiothorac SurgHome page
M. D. Rodefeld, M. Ruzmetov, M. S. Schamberger, D. A. Girod, M. W. Turrentine, and J. W. Brown
Staged surgical repair of functional single ventricle in infants with unobstructed pulmonary blood flow
Eur J Cardiothorac Surg, June 1, 2005; 27(6): 949 - 955.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
D. Bonnet, A. F. Corno, D. Sidi, N. Sekarski, M. Beghetti, I. Schulze-Neick, M. Fasnacht, E. Le Bret, A. Kalangos, P. R. Vouhe, et al.
Early Clinical Results of the Telemetric Adjustable Pulmonary Artery Banding FloWatch-PAB
Circulation, September 14, 2004; 110(11_suppl_1): II-158 - II-163.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
B. P. J. Leeuwenburgh, P. H. Schoof, P. Steendijk, J. Baan, W. J. Mooi, and W. A. Helbing
Chronic and adjustable pulmonary artery banding
J. Thorac. Cardiovasc. Surg., February 1, 2003; 125(2): 231 - 237.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
H. Takayama, A. Sekiguchi, M. Chikada, M. Noma, A. Ishizawa, and S. Takamoto
Mortality of pulmonary artery banding in the current era: recent mortality of PA banding
Ann. Thorac. Surg., October 1, 2002; 74(4): 1219 - 1224.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1989 by The Society of Thoracic Surgeons.