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Pulmonary artery banding.

Emanuela Angeli1, Carlo Pace Napoleone, Simone Turci

  • 1Paediatric Cardiac Surgery Unit, S. Orsola-Malpighi Hospital, University of Bologna Medical School, Via Massarenti n. 9, 40138 Bologna, Italy.

Multimedia Manual of Cardiothoracic Surgery : MMCTS
|January 14, 2014
PubMed
Summary
This summary is machine-generated.

Pulmonary artery banding (PAB) is a surgical technique for congenital heart defects. Once common, its use declined but is now reviving for specific complex heart conditions in infants.

Keywords:
Palliative correctionPulmonary artery bandingPulmonary overcirculationUniventricular heart

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Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology
  • Congenital Heart Disease

Background:

  • Pulmonary artery banding (PAB) was historically crucial for treating congenital heart defects with left-to-right shunts.
  • Its use diminished due to advances in early complete intracardiac repair and concerns about negative effects like branch distortion and ventricular dysfunction.

Purpose of the Study:

  • To review the historical role, decline, and recent resurgence of pulmonary artery banding.
  • To highlight its current application as a palliative strategy and in specific complex congenital heart defects.

Main Methods:

  • Literature review of the evolution and application of pulmonary artery banding.
  • Analysis of its changing role in the management of congenital heart disease.

Main Results:

  • PAB's utilization decreased significantly, accounting for only ~2% of cardiac surgeries between 2002-2005.
  • A renewed interest is observed for PAB as palliation in infants and for specific conditions like TGA and HLHS.

Conclusions:

  • Despite a decline, pulmonary artery banding remains a valuable palliative option for select congenital heart defects.
  • Ongoing research focuses on refining PAB techniques for easier application and less traumatic removal.