Unilateral pulmonary artery banding to promote contralateral pulmonary artery growth

• Published in: Heart and vessels Vol. 27; no. 5; pp. 532 - 534
• Main Authors: Saiki, Hirofumi, Kakei, Hiroko, Ishido, Hirotaka, Masuoka, Ayumu, Suzuki, Takaaki, Katogi, Toshiyuki, Senzaki, Hideaki
• Format: Journal Article
• Language: English
• Published: Japan Springer Japan 01.09.2012; Springer Nature B.V
• Subjects: Abnormalities, Multiple; Biomedical Engineering and Bioengineering; Cardiac Surgery; Cardiology; Cardiovascular disease; Case Report; Congenital diseases; Double Outlet Right Ventricle - surgery; Follow-Up Studies; Fontan Procedure - methods; Humans; Infant, Newborn; Male; Medicine; Medicine & Public Health; Newborn babies; Pulmonary Artery - surgery; Pulmonary Veins - abnormalities; Pulmonary Veins - surgery; Scimitar Syndrome - surgery; Surgery; Vascular Surgery; Vascular Surgical Procedures - methods; Pulmonary artery banding; Peripheral artery stenosis; Pulmonary artery plasty; Congenital; Fontan
• ISSN: 0910-8327; 1615-2573
• DOI: 10.1007/s00380-011-0223-4

A full-term baby with double-outlet right ventricle and total anomalous pulmonary venous connection (TAPVC) complicated with left main pulmonary artery (PA) stenosis, presented with heart failure caused by increased pulmonary blood flow. Based on significant discrepancies in size and development between the left and right PAs, we performed right PA banding concomitant with TAPVC repair to promote left PA growth and restrict overall PA flow. PA-graphy performed 3 months after surgery showed marked increase in the left PA size with appropriately low pressure, which enabled us to successfully complete Glenn anastomosis. Under appropriate patient selection, unilateral PA banding for patients with unbalanced peripheral PA size could serve as an effective and less invasive strategy to simultaneously promote PA growth and control PA flow.