Pulmonary artery banding revisited

I. L. Kron, S. P. Nolan, T. L. Flanagan, H. P. Gutgesell, W. H. Muller

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

Pulmonary artery (PA) banding to reduce pulmonary blood flow was described by Muller and Dammann in 1952. This review describes the outcome of 170 children who had PA banding at the University of Virginia Medical Center between 1955 and 1988. One hundred and one of the patients were banded between 1958 and 1970; fewer bands were placed in later years because early total correction was feasible for certain conditions. When analyzed by preoperative diagnoses, the data reveal that children with a single ventricle undergoing banding had a significantly lower 30-day mortality rate of 12% compared to other preoperative diagnoses, including atrioventricular canal, truncus arteriosus, and ventricular septal defect (VSD) at 30% (p<0.05). The late overall mortality for all patients was approximately 10%, an attrition rate of 1% per year. PA banding still has a role in management of patients with congenital heart disease, particularly for infants with a single ventricle. Actuarial survival at 10 years for patients with this condition is 92%. Interestingly, this indication for pulmonary banding is the same one cited in the original report.

Original languageEnglish (US)
Pages (from-to)642-647
Number of pages6
JournalAnnals of surgery
Volume209
Issue number5
DOIs
StatePublished - 1989

ASJC Scopus subject areas

  • Surgery

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