Systemic-Pulmonary Shunt and Pulmonary Artery Banding

Pulmonary artery stenosis after systemic-to-pulmonary shunt operations.

OBJECTIVE Systemic-to-pulmonary shunt operations are still required for palliation of certain congenital heart defects. The aim of this study was to analyze the incidence and etiology of the development of pulmonary artery stenosis after these procedures. METHODS AND RESULTS Pre- and post-operative angiograms of 59 patients who underwent 54 peripheral and 12 central shunt operations were anal...

Pulmonary Artery Banding

BANDING of the pulmonary artery has been proposed as a therapeutic procedure for patients with a large left-to-right shunt and pulmonary artery hypertension not amenable to complete correction. It was theorized that by increasing the resistance to outflow from the right ventricle, and thus lowering the pulmonary artery pressure, the size of the left-to-right shunt would diminish, the high outpu...

[Pulmonary artery banding].

BANDING of the pulmonary artery has been proposed as a therapeutic procedure for patients with a large left-to-right shunt and pulmonary artery hypertension not amenable to complete correction. It was theorized that by increasing the resistance to outflow from the right ventricle, and thus lowering the pulmonary artery pressure, the size of the left-to-right shunt would diminish, the high outpu...

Adjustable Pulmonary Artery Banding

Management of Iatrogenic Pulmonary Artery Injury during Pulmonary Artery Banding

Pulmonary Artery banding (PAB) is limited to selected patients who cannot undergo primary repair due to complex anatomy, associated co-morbidities, as a part of staged univentricular palliation, and for preparing the left ventricle prior to an arterial switch operation. We report a catastrophic iatrogenic complication in which the pulmonary artery was injured during the PAB. We discuss its mult...