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


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
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):
Zahid Amin
Carl L. Backer
Constantine Mavroudis
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 Amin, Z.
Right arrow Articles by Mavroudis, C.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Amin, Z.
Right arrow Articles by Mavroudis, C.

Ann Thorac Surg 1998;66:836-841
© 1998 The Society of Thoracic Surgeons

Original articles: Cardiovascular

Does banding the pulmonary artery affect pulmonary valve function after the Damus-Kaye-Stansel operation?

Zahid Amin, MDa,b,c,d, Carl L. Backer, MDa, C. Elise Duffy, MDa,b,c,d, Constantine Mavroudis, MDa,b,c,d

a Division of Cardiovascular-Thoracic Surgery, Children’s Memorial Medical Center, Chicago, Illinois, USA
b Division of Cardiology, Children’s Memorial Medical Center, Chicago, Illinois, USA
c Department of Surgery, Northwestern University Medical School, Chicago, Illinois, USA
d Department of Pediatrics, Northwestern University Medical School, Chicago, Illinois, USA

Address reprint requests to Dr Backer, Division of Cardiovascular Surgery, Children’s Memorial Medical Center, 2300 Children’s Plaza, Box 22, Chicago, IL 60614
e-mail: (c-backer{at}nwu.edu)

Presented at the Thirty-fourth Annual Meeting of The Society of Thoracic Surgeons, New Orleans, LA, Jan 26–28, 1998.

Background. The Damus-Kaye-Stansel (DKS) operation can be an effective palliation in patients who have single-ventricle physiology and systemic outflow obstruction. Pulmonary artery banding (PAB) may be used as a preliminary procedure in these patients to limit overperfusion of the pulmonary circulation. In some series, the DKS operation has been associated with pulmonary insufficiency (PI). We retrospectively analyzed medical records of our patients who had PAB and later DKS to determine the incidence of PI in these patients.

Methods. Between 1982 and 1996, 15 patients underwent PAB before DKS. Median age at PAB placement was 7 days and median duration of PAB was 7 months. Echocardiograms obtained before PAB, before DKS, and at the most recent post-DKS follow-up were reviewed.

Results. Follow-up ranged from 1 to 15 years (mean follow-up, 7.5 years). One patient had trivial PI before PAB, which progressed to moderate PI at the last follow-up. Only 1 other patient had mild PI, but only at the last follow-up after DKS.

Conclusions. These findings suggest that prior PAB does not appear to cause significant PI in patients slated for DKS, and the incidence of significant PI after the DKS operation is relatively low.




This article has been cited by other articles:


Home page
 J Am Coll CardiolHome page
Y.-T. Lan, R.-K. Chang, and H. Laks
Outcome of patients with double-inlet left ventricle or tricuspid atresia with transposed great arteries
J. Am. Coll. Cardiol., January 7, 2004; 43(1): 113 - 119.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
M. S. Cohen, B. S. Marino, D. B. McElhinney, D. Robbers-Visser, W. van der Woerd, J. W. Gaynor, T. L. Spray, and G. Wernovsky
Neo-aortic root dilation and valve regurgitation up to 21 years after staged reconstruction for hypoplastic left heart syndrome
J. Am. Coll. Cardiol., August 6, 2003; 42(3): 533 - 540.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
S. M. Bradley, J. M. Simsic, A. M. Atz, and B. H. Dorman
The infant with single ventricle and excessive pulmonary blood flow: results of a strategy of pulmonary artery division and shunt
Ann. Thorac. Surg., September 1, 2002; 74(3): 805 - 810.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
A. G. Cerillo, B. Murzi, S. Giusti, A. Crucean, S. Redaelli, and V. Vanini
Pulmonary artery banding and ventricular septal defect enlargement in patients with univentricular atrioventricular connection and the aorta originating from an incomplete ventricle
Eur. J. Cardiothorac. Surg., August 1, 2002; 22(2): 192 - 199.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
C. I. Tchervenkov, D. Shum-Tim, M. J. Beland, L. Jutras, and R. Platt
Single ventricle with systemic obstruction in early life: comparison of initial pulmonary artery banding versus the Norwood operation
Eur. J. Cardiothorac. Surg., May 1, 2001; 19(5): 671 - 677.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
W. Daenen, B. Eyskens, B. Meyns, and M. Gewillig
Neonatal pulmonary artery banding does not compromise the short-term function of a Damus-Kaye-Stansel connection
Eur. J. Cardiothorac. Surg., June 1, 2000; 17(6): 655 - 657.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. N.K. Odim, H. Laks, D. C. Drinkwater Jr, B. L. George, J. Yun, M. Salem, and V. Allada
Staged surgical approach to neonates with aortic obstruction and single-ventricle physiology
Ann. Thorac. Surg., September 1, 1999; 68(3): 962 - 967.
[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 © 1998 by The Society of Thoracic Surgeons.