title: Pulmonary artery banding in the current era: Is it still useful?
abstract: BACKGROUND
  The objective of this study was to assess the results of the pulmonary artery (PA) banding in patients with congenital heart defects (CHD) and pulmonary hypertension (PH) in the current era.
  
  
  METHODS
  We analyzed data from 305 patients who underwent PA banding between April 2005 and April 2010 at our centre. All patients were approached through a left thoracotomy. Twenty percent of patients underwent PA banding based on Trusler's rule (Group 1), 55% of them underwent PA banding based on PA pressure measurement (Group 2), and the rest of them (25%) based on surgeon experience (Group 3). The follow-up period was 39 ± 20 month and 75% of patients (230 cases) had definitive repair at mean interval 23 ± 10 months.
  
  
  RESULTS
  The rate of anatomically and functionally effectiveness of PA banding in all groups was high (97% and 92%, respectively). There were no significant differences in anatomically and functionally efficacy rate between all groups (P=0.77, P=0.728, respectively). There was PA bifurcation stenosis in six cases (2%), and pulmonary valve injury in one case (0.3%). The mortality rate in PA banding was 2% and in definitive repair was 3%.
  
  
  CONCLUSIONS
  We believe that PA banding still plays a role in management of patients with CHD, particularly for infants with medical problems such as sepsis, low body weight, intracranial hemorrhage and associated non cardiac anomalies. PA banding can be done safely with low morbidity and mortality.
authors.affiliation: Department of Cardiovascular Surgery, Rajaie Cardiovascular Medical and Research Center, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Maziar Gholampour
authors.initials: MG
authors.lastname: Dehaki
authors.forename: Ali Sadeghpour
authors.initials: AS
authors.lastname: Tabaee
authors.forename: Changiz Azadi
authors.initials: CA
authors.lastname: Ahmadabadi
authors.forename: Alireza Alizadeh
authors.initials: AA
authors.lastname: Ghavidel
authors.forename: Gholamreza
authors.initials: G
authors.lastname: Omra