[Anesthetic management of bilateral PA banding in seven patients with HLHS]

Regarding the established phased operation for hypoplastic left heart syndrome (HLHS), the recent increase in cases involving Fontan operation has led to concomitant problems that seem to be caused by invasive open-heart surgery during the newborn period. In the new method to overcome this situation, one starts with the non-open-heart pulmonic artery banding (bil. PAB) during the newborn period, followed by the Norwood-Glenn operation, and finally with the Fontan operation. This is a report on seven cases treated with the pulmonic artery banding on HLHS at the Nagano Children's Hospital, in which we were personally involved as anesthesiologists.