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...

Between October 1972 and April 1977 15 patients underwent definitive repair of a ventricular septal defect (VSD) and reconstruction of the pulmonary artery at the banding site. This report presents pre- and post-operative haemodynamic data in 12 patients, seven to 22 years after banding (mean 13.4). Banding of the pulmonary artery was performed before the age of 6 months (mean 4). The indicatio...

A case of complete absence of the pulmonary valve in association with a ventricular septal defect and a pulmonary artery coarctation is described. Despite these defects the patient had minimal symptoms, probably because the pulmonary artery coarctation acted as a natural banding and limited the pulmonary regurgitant flow and reduced the left-to-right shunt across the ventricular septal defect. ...

S INCE THE ORIGINAL CLINICAL REPORT of Muller and Dammann in 1952,’ the use of pulmonary artery banding in small infants with congestive heart failure due to large ventricular septal defects has been widely recognized and used as a beneficial, palliative procedure of reasonable risk.2’ Only limited clinical information is available concerning the use of banding in the treatment of other types o...

Since its introduction by Muller and Dammam,l banding of the pulmonary artery has become an established method of palliative therapy in certain types of congenital heart disease.Pd Experience with the surgical correction of the cardiac defect together with "debanding" of the pulmonary artery has been published from various center^.^-^ The remote complications of the banding procedure have inclu...