Expectations and limitations after bilateral pulmonary artery banding

Sakurai, Takahisa; Sakurai, Hirofumi; Yamana, Koji; Nonaka, Toshimichi; Noda, Ryuichi; Otsuka, Ryohei; Osawa, Takuya

doi:10.1093/ejcts/ezw056

Cited by 13 publications

(20 citation statements)

References 15 publications

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“…The appropriate timing of second stage surgery has been a dilemma as the weight gain post bilateral PA banding was found to have individual variations [1]. Although commonly done at 3 to 6 months post bilateral PA band, the surgery was significantly delayed in our case due to concomitant and ongoing infection pertaining to the immunodeficiency [3].…”

Section: Discussionmentioning

confidence: 82%

“…Bilateral PA banding as a staged palliation is predominantly used for single ventricle lesions. However, recent reports have shown that it has become an established palliation for biventricular lesions, especially in truncus arteriosus defect [1]. In view of increased risk of perioperative mortality and reoperation for single-stage repair of complex cardiac lesions in neonates with low birth weight, reports have demonstrated the benefit of bilateral PA band to allow weight gain and maturation of vital organs [2].…”

Section: Discussionmentioning

confidence: 99%

“…There are few case reports published about the use of bilateral PA banding in biventricular heart as an initial palliation [2]. The timing of the second surgery, growth of the branch PAs and possible distortion of the branch PAs requiring some form of intervention are few issues that remain to be answered [1]. We present a case of truncus arteriosus who underwent definitive corrective surgery after 13 months of bilateral PA banding without distortion of the branch PA.…”

Section: Introductionmentioning

confidence: 96%

“…Pulmonary artery (PA) banding is an established initial palliation in univentricular hearts to decrease pulmonary blood flow although its use in biventricular heart is debatable in centers opting for primary correction [1]. However, single-stage repair is difficult in neonates particularly those with low birth weight and co-existing morbidities, and also, the possible neurological consequences associated with prolonged cardiopulmonary bypass cannot be ignored.…”

Section: Introductionmentioning

confidence: 99%

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Delayed surgical repair of truncus arteriosus with interrupted aortic arch following bilateral banding of branch pulmonary arteries: a case report

et al. 2021

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Background Banding of the bilateral branch pulmonary arteries (PA) has evolved as a palliative method to limit the pulmonary blood flow in various complex congenital heart diseases. Although beneficial in small patients and in those with multiple co-morbidities, the duration of pulmonary artery banding along with growth and status of branch pulmonary arteries following de-banding are of concern in these patients. Case presentation We present a case of truncus arteriosus with interrupted aortic arch in whom bilateral PA banding was done in neonatal life. The corrective surgery was delayed by 13 months due to multiple infections and underlying co-morbid conditions. Although the surgery was delayed, the branch pulmonary arteries were of adequate size following the debanding procedure. Conclusion Branch PA augmentation may not always be necessary even in delayed corrective surgery following bilateral PA banding.

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Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

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Delayed surgical repair of truncus arteriosus with interrupted aortic arch following bilateral banding of branch pulmonary arteries: a case report

et al. 2021

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“…12,13 The higher proportion of Glenn operations among the benchmark procedures in JCVSD-Congenital compared to ECHSA-CHSD may reflect the advanced experiences in Japan regarding functionally univentricular palliation. 14 Surprisingly, the proportion of Fontan completion is lower in JCVSD-Congenital compared to ECHSA-CHSD.…”

Section: Discussionmentioning

confidence: 94%

Pediatric Cardiac Surgical Patterns of Practice and Outcomes in Japan and Europe

Hörer

Hirata

Tachimori

et al. 2021

World J Pediatr Congenit Heart Surg

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Objectives: The Japan Cardiovascular Surgery Database–Congenital section (JCVSD-Congenital) and the European Congenital Heart Surgeons Association (ECHSA) Congenital Heart Surgery Database (CHSD) share the same nomenclature. We aimed at comparing congenital cardiac surgical patterns of practice and outcomes in Japan and Europe using the JCVSD-Congenital and ECHSA-CHSD. Methods and Results: We examined Japanese (120 units, 63,365 operations) and European (96 units, 90,098 operations) data in JCVSD-Congenital and ECHSA-CHSD from 2011 to 2017. Patients’ age and weight, periprocedural times, mortality at hospital discharge, and postoperative length of stay were calculated for ten benchmark operations. There was a significantly higher proportion of ventricular septal defect closures and Glenn operations and a significantly lower proportion of coarctation repairs, tetralogy of Fallot repairs, atrioventricular septal defect repairs, arterial switch operations, truncus repairs, Norwood operations, and Fontan operations in JCVSD-Congenital compared to ECHSA-CHSD. Postoperative length of stay was significantly longer following all benchmark operations in JCVSD-Congenital compared to ECHSA-CHSD. Mean STAT mortality score (Society of Thoracic Surgeons European Association for Cardio-Thoracic Surgery mortality score) was significantly higher in JCVSD-Congenital (0.78) compared to ECHSA-CHSD (0.71). Mortality at hospital discharge was significantly lower in JCVSD-Congenital (4.2%) compared to ECHSA-CHSD (6.0%, P < .001). Conclusions: The distribution of the benchmark procedures and age at the time of surgery differ between Japan and Europe. Postoperative length of stay is longer, and the mean complexity is higher in Japan compared to European data. These comparisons of patterns of practice and outcomes demonstrate opportunities for continuing bidirectional transcontinental collaboration and quality improvement.

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Bilateral pulmonary artery banding facilitates the systemic ventricular outflow tract growth for biventricular and univentricular repair candidates of complex arch anomaly

Yamasaki,

Umezu,

Toba

et al. 2024

Heart Vessels

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Expectations and limitations after bilateral pulmonary artery banding

Cited by 13 publications

References 15 publications

Delayed surgical repair of truncus arteriosus with interrupted aortic arch following bilateral banding of branch pulmonary arteries: a case report

Delayed surgical repair of truncus arteriosus with interrupted aortic arch following bilateral banding of branch pulmonary arteries: a case report

Pediatric Cardiac Surgical Patterns of Practice and Outcomes in Japan and Europe

Bilateral pulmonary artery banding facilitates the systemic ventricular outflow tract growth for biventricular and univentricular repair candidates of complex arch anomaly

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