Modified pulmonary artery banding: A novel strategy for balancing pulmonary blood flow with transposed great arteries.

ABSTRACT:

Objective

To study the outcomes of a novel modified pulmonary artery banding (mPAB) technique used for staged repair of a subset of patients with complex transposition physiology.

Methods

A total of 13 patients who underwent mPAB during their staged repair (biventricular repair [BVR], n = 6) or palliation (1-1/2 repair, n = 1; univentricular repair [UVR], n = 6) from 2004 to 2020 were studied retrospectively. A restrictive interposition graft was used to reconstruct the main PA between the pulmonary root and the distal pulmonary confluence, functioning as a mPAB. Twelve of the 13 patients (92.3%) underwent a concurrent arterial switch operation (ASO), of which 6 were palliative ASOs for 1-1/2 repair (n = 1) or UVR (n = 5). Patient weight and cardiac anatomy determined the si

SUBMITTER: Salve GG 

PROVIDER: S-EPMC8501127 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature