Indications, Results and Mortality of Pulmonary Artery Banding Procedure: a Brief Review and Five- year Experiences

Authors

1 Assistant professor ,Department of cardiac surgery, Atherosclerosis Prevention Research Center , Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran .

2 Assistant professor, Department of cardiac surgery, Atherosclerosis Prevention Research Center Faculty of medical science, Mashhad University of Medical Sciences, Iran

3 -Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

4 Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran

5 Medical student, Faculity of Medicine, Mashhad University of Medical science, Iran.

6 Associated Professor, Department of cardiac surgery, Atherosclerosis Prevention Research Center,Faculity of medical science, Imam Reza Hospital, Mashhad University of Medical Sciences, Iran

7 Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran.

Abstract

Background
Pulmonary artery banding (PAB) is a technique of palliative surgical therapy used by congenital heart surgeons as a staged approach to operative correction of congenital heart defects.
Materials and Methods
We report 5- year experiences from January 2011 to January 2016 of Imam Reza Hospital center (a tertiary referral hospital in Mashhad city, North East of Iran) that consist of 50 patients with congenital heart disease with left to right shunt that pulmonary artery banding procedure was performed for them were studied.
Results
Age of patients (n=50) was 1to 9 months (mean=4.6 + 1.3). In this study, the most common disease that need to PAB procedure was Ventricular septal defect (VSD) with twenty-eight patients (56%). Mean of extubation time (hour) was 10.4 + 0.8 and mean of hospital stay (day) was 13.3 + 2.4 respectively.
Conclusion
Although the number of pulmonary artery banding palliation surgery was decreased, but in selected group of congenital heart disease, this palliation to reduce over circulation of Pulmonary system, can use successfully with acceptable results and low mortality. We suggest pulmonary artery banding palliative surgery in these selected patients.

Keywords