title: Staged repair for aortic arch reconstruction and intracardiac repair following bilateral pulmonary artery banding in 3 critical patients.
abstract: Bilateral pulmonary artery banding has been performed as a first palliation for hypoplastic left heart syndrome with a poor preoperative condition. We report 3 patients with aortic arch reconstruction and intracardiac repair following bilateral pulmonary artery banding in moribund patients after birth. Our patients successfully received arch reconstruction, pulmonary debanding and patch closure of the ventricular septal defect at the age of 2 or 3 months after birth with a body weight of 3.5 and 4.5 kg, respectively. No postoperative neurological deficits were observed, and postoperative morbidity was significantly reduced. More than 75% of cerebral oxygenation may provide higher urinary output due to higher renal blood flow through collateral circulation. This technique reduces the risk of perioperative neurological damage.
authors: Department of Cardiovascular Surgery, Gunma Children's Medical Center, Gunma, Japan. yonomiyataka@msn.com
authors: Takashi
authors: T
authors: Miyamoto
authors: Takeshi
authors: T
authors: Yoshii
authors: Akitoshi
authors: A
authors: Inui
authors: Shinichi
authors: S
authors: Ozaki
mesh_terms: D001013:Aorta, Thoracic / Q000002:abnormalities / Q000503:physiopathology / Q000601:surgery*; D001017:Aortic Coarctation / Q000150:complications / Q000601:surgery; D006348:Cardiac Surgical Procedures / Q000009:adverse effects; D016638:Critical Illness; D004374:Ductus Arteriosus, Patent / Q000150:complications / Q000601:surgery; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000601:surgery; D006439:Hemodynamics; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D007223:Infant; D007231:Infant, Newborn; D008026:Ligation; D008297:Male; D010166:Palliative Care; D011183:Postoperative Complications / Q000209:etiology; D011651:Pulmonary Artery / Q000002:abnormalities / Q000503:physiopathology / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000009:adverse effects; D012039:Regional Blood Flow; D013997:Time Factors; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects
keywords: Bilateral pulmonary artery banding; Coarctation of aorta; Interrupted aortic arch; Staged repair