title: Staged repair of truncus arteriosus with interrupted aortic arch: adjustable pulmonary artery banding.
abstract: We report a successful two-stage treatment for an infant with truncus arteriosus with aortic arch interruption. The treatment consisted of flow-adjustable bilateral pulmonary artery banding using clipping and postoperative balloon dilation, followed by staged repair. The merits of this strategy are as follows: (1) bilateral pulmonary artery banding is less invasive than neonatal one-stage repair; (2) use of cardiopulmonary bypass can be avoided in the newborn period; and (3) control of pulmonary blood flow adjusted for body size is possible. Although further studies are needed, our therapeutic strategy might provide a clinically important option for managing severe congenital heart disease.
authors.affiliation: Department of Pediatrics, Gunma University Graduate School of Medicine, Gunma, Japan. torukoba@nifty.com
authors.forename: Tohru
authors.initials: T
authors.lastname: Kobayashi
authors.forename: Takashi
authors.initials: T
authors.lastname: Miyamoto
authors.forename: Tomio
authors.initials: T
authors.lastname: Kobayashi
authors.forename: Kentaro
authors.initials: K
authors.lastname: Ikeda
authors.forename: Kyoko
authors.initials: K
authors.lastname: Koizuka
authors.forename: Hirotsugu
authors.initials: H
authors.lastname: Okamoto
authors.forename: Kagami
authors.initials: K
authors.lastname: Miyaji
mesh_terms: D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000601:surgery; D013504:Cardiovascular Surgical Procedures / Q000379:methods*; D002404:Catheterization; D003250:Constriction; D005260:Female; D006801:Humans; D007223:Infant; D011651:Pulmonary Artery / Q000601:surgery*; D014339:Truncus Arteriosus, Persistent / Q000601:surgery*