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Ann Thorac Surg 2001;71:361-362
© 2001 The Society of Thoracic Surgeons
a Division of Pediatric Cardiology, Saint Louis University School of Medicine, Cardinal Glennon Childrens Hospital, 1465 S Grand Blvd, St. Louis, MO 63104, USA
Bonnet and colleagues describe an infant with tricuspid atresia with normally related great arteries and a large ventricular septal defect (VSD) in whom they performed banding of the pulmonary artery with an absorbable polydiaxanone ribbon [1]. Band material has spontaneously resorbed by 5 months, whereas the VSD became restrictive. The infant underwent successful bidirectional Glenn procedure at 1 year of age. They go on to suggest that pulmonary artery banding with an absorbable material should be included among surgical options to be considered in the management of such patients.
Bonnets concept is ingenious and should receive serious consideration. The concept is predicated on the assumption that the VSD will undergo spontaneous closure and on the hypothesis that the banded pulmonary artery
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