Staged repair of truncus arteriosus with interrupted aortic arch: adjustable pulmonary artery banding.
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.
Kobayashi
Tohru
T
Department of Pediatrics, Gunma University Graduate School of Medicine, Gunma, Japan. torukoba@nifty.com
Miyamoto
Takashi
T
Kobayashi
Tomio
T
Ikeda
Kentaro
K
Koizuka
Kyoko
K
Okamoto
Hirotsugu
H
Miyaji
Kagami
K
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*