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Pulmonary artery banding operation and results of terminal biventricular and univentricular repair [Anatol J Cardiol]
Anatol J Cardiol. 2009; 9(3): 215-222

Pulmonary artery banding operation and results of terminal biventricular and univentricular repair

Ersin Erek1, Yusuf Kenan Yalçınbaş1, Yasemin Türkekul1, Kazım Öztarhan2, Ayşe Çolakoğlu3, Arda Saygılı4, Ayşe Sarıoğlu5, Tayyar Sarıoğlu6
1Acıbadem Bakırköy Hastanesi, Kardiyovasküler Cerrahi, Bölümleri, İstanbul, Türkiye
2Bakırköy Doğumevi, Kadın Doğum ve Çocuk Hastalıkları Hastanesi, Pediatrik Kardiyoloji Bölümü, İstanbul, Türkiye
3Acıbadem Bakırköy Hastanesi, Anestezi ve Reanimasyon Bölümleri, İstanbul, Türkiye
4Clinic of Pediatric Cardiology, Acıbadem Hospital, İstanbul-Turkey
5Acıbadem Bakırköy Hastanesi, Pediatrik Kardiyoloji Bölümleri, İstanbul, Türkiye
6Department of Cardiac Surgery, University of Acıbadem, İstanbul-Turkey

Objective: In this study, we report the current indications, early-midterm results and the outcome of pulmonary artery banding (PAB) operation after definitive repair. Methods: Between 2000 and 2007, 28 infants underwent PAB operation. Ages were between 21 days and 6 months (mean 3.0±1.7 months). All patients had pulmonary hypertension at systemic level. Fourteen patients were candidates for terminal biventricular repair [atrioventricular septal defect (AVSD) (n=6), double outlet right ventricle (DORV)+ ventricular septal defect (VSD) (n=4), Swiss cheese VSD (n=2), transposition of the great arteries(TGA)+Swiss cheese VSD (n=1), ASD+VSD+aortic coarctation (n=1)], and the remaining 14 were candidates for terminal univentricular repair [double inlet left ventricle (n=5), double inlet right ventricle (n=2), AVSD+left ventricular (LV) hypoplasia (n=2), DORV+LV hypoplasia (n=2); tricuspid atresia (n=1), left AV valve atresia (n=1), TGA+Swiss cheese VSD+LV hypoplasia (n=1). Results: Three patients (1 in biventricular group; 2 in univentricular group) died in the early postoperative period (10.7%). Three patients needed long duration of mechanical ventilatory support. Twenty- three of the surviving patients (92%) were followed –up between 1 month to 7 years. Currently 7 patients underwent successful biventricular repair and five patients underwent univentricular repair (extracardiac Fontan 3; Glenn 2). Two patients died early and 1 patient died 1 year after extracardiac Fontan operation. Survival for biventricular group was 92.8% at 1 and 4 years and 85.7% and 58.4% respectively for univentricular group (p<0.05) Conclusion: Pulmonary artery banding operation has still a significant role in the palliation of certain congenital cardiac anomalies. Outcome of patients who are candidates for biventricular repair is better than the univentricular repairs.

Keywords: Congenital heart, pulmonary banding, palliation, ventricular septal defect, Fontan operation


Ersin Erek, Yusuf Kenan Yalçınbaş, Yasemin Türkekul, Kazım Öztarhan, Ayşe Çolakoğlu, Arda Saygılı, Ayşe Sarıoğlu, Tayyar Sarıoğlu. Pulmonary artery banding operation and results of terminal biventricular and univentricular repair. Anatol J Cardiol. 2009; 9(3): 215-222


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