Novel pulmonary artery banding followed by transcatheter balloon dilatation in treatment of complex congenital heart defects

Vazquez-Garcia, Laura; Slavík, Zdeněk; Uemura, Hiroji

doi:10.1016/j.crvasa.2016.07.003

Cited by 2 publications

(1 citation statement)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Dacron 1 may be too solid to allow balloon debanding with a large size balloon, and attempts may be complicated by tearing of the pulmonary arterial wall unless the suture threads do not break. Vazquez-Garcia et al reported debanding for ePTFE band using a balloon 1.2-2.0 times to the narrowest segment of pulmonary artery [6]. In their report, a small but a significant pressure gradient remained after balloon debanding.…”

Section: Discussionmentioning

confidence: 95%

Percutaneous pulmonary debanding for an infant complicated by spontaneously closing muscular ventricular septal defect: A case report and in vitro study

Terazawa

Fujii

Sasaki

et al. 2018

Journal of Cardiology Cases

View full text Add to dashboard Cite

IntroductionThere are several types of congenital heart disease which may be complicated by pulmonary hypertension (PH) following excessive pulmonary blood flow, such as large ventricular septal defect (VSD), double outlet right ventricle, and single ventricle.Primary repair is generally accepted as the best option for such diseases, although pulmonary artery banding (PAB) is occasionally indicated as a palliative procedure for situations in which primary repair has a considerable risk. We report on the case of a patient with coarctation of the aorta (CoA) complicated by multiple muscular VSDs (Swiss cheese type) for whom we performed arch repair and PAB as the first-stage surgery. His VSDs spontaneously became smaller following PAB, consequently, we chose to perform percutaneous pulmonary debanding rather than surgical debanding. We also created a model of the PAB and studied the anatomic development. A B S T R A C TPulmonary artery banding (PAB) is a standard operation for various congenital heart defects complicated by pulmonary hypertension (PH) and judged unsuitable for primary intracardiac repair. We report successful percutaneous pulmonary artery debanding in a baby complicated by muscular ventricular septal defect (VSD), that was initially large and multiple, but closed spontaneously later. The 5-monthold boy was referred to our hospital on day 3, diagnosed as having aortic coarctation (CoA), with multiple muscular VSDs and severe PH. On day 6, he underwent CoA repair and PAB using expanded polytetrafluoroethylene (ePTFE), while the muscular VSDs were left open. We planned percutaneous pulmonary debanding at the age of 5 months, as the muscular VSDs had become small. After dilation with a Mustang 1 (Boston Scientific, Marlborough, Massachusetts, United State) balloon (12 mm diameter) there was a persistent waist indicating a residual narrowing. Use of an extra-high pressure balloon, Conquest 1 (Medicon, Osaka, Japan) balloon of the same size, completely eliminated the waist. In in vitro experiments, the Mustang 1 partially tore the ePTFE, while a Conquest 1 of the same diameter completely opened the band. The mechanism of debanding was tearing of the ePTFE by the knot of the suture thread. Percutaneous pulmonary debanding to avoid unnecessary surgery is feasible in such a patient if the VSD becomes small.

show abstract

Section: Discussionmentioning

confidence: 95%

Percutaneous pulmonary debanding for an infant complicated by spontaneously closing muscular ventricular septal defect: A case report and in vitro study

Terazawa

Fujii

Sasaki

et al. 2018

Journal of Cardiology Cases

View full text Add to dashboard Cite

show abstract

Transcatheter balloon angioplasty of internal pulmonary artery bands to improve pulmonary blood flow: a case series

Srivatsav,

Eilers,

Khan

et al. 2024

Cardiol Young

View full text Add to dashboard Cite

Pulmonary artery banding (PAB) is used to restrict pulmonary blood flow in select patients with large left-to-right intracardiac shunts or unrestrictive pulmonary blood flow prior to eventual surgical repair or palliation. More recently, surgical placement of an internal or intraluminal PAB (IPAB) has been used to restrict pulmonary circulation. Here we present two patients who underwent balloon angioplasty of the IPAB to treat cyanosis and improve pulmonary blood flow.

show abstract

Novel pulmonary artery banding followed by transcatheter balloon dilatation in treatment of complex congenital heart defects

Abstract: Tento článek prosím citujte takto: L. Vazquez-Garcia, et al., Novel pulmonary artery banding followed by transcatheter balloon dilatation in treatment of complex congenital heart defects, Cor et Vasa 59 (2017) e465-e467, jak vyšel v Cor et Vasa na

Cited by 2 publications

References 8 publications

Percutaneous pulmonary debanding for an infant complicated by spontaneously closing muscular ventricular septal defect: A case report and in vitro study

Percutaneous pulmonary debanding for an infant complicated by spontaneously closing muscular ventricular septal defect: A case report and in vitro study

Transcatheter balloon angioplasty of internal pulmonary artery bands to improve pulmonary blood flow: a case series

Contact Info

Product

Resources

About