title: Mid-term outcomes of patients undergoing adjustable pulmonary artery banding.
abstract: OBJECTIVE
  The adjustable pulmonary artery band (APAB) has been demonstrated by us earlier to be superior to the conventional pulmonary artery banding (CPAB), in terms of reduced early morbidity and mortality. In this study, we assessed the adequacy of the band and its complications over the mid-term.
  
  
  METHODS
  Between 2002 and 2012, 73 patients underwent adjustable PAB, and their operative and follow-up data were collected and analyzed.
  
  
  RESULTS
  There was one early death following the APAB. Follow-up data were available for 57 patients of which 44 patients (61.7%) underwent definitive repair, 10 were awaiting definitive repair, and 3 patients were kept on medical follow-up because of inadequate fall in pulmonary artery (PA) pressures. 14 patients (19%) were lost to follow-up. Major PA distortion or stenosis was absent in the majority. 1 patient had pseudoaneurysm of the main pulmonary artery (MPA) with sternal sinus infection and required surgical reconstruction. 1 patient had infective endocarditis of the pulmonary valve managed medically. Band migration was not encountered. There were two deaths after definitive repair and one after APAB.
  
  
  CONCLUSIONS
  Patients undergoing APAB fulfilled the desired objectives of the pulmonary artery banding (PAB) with minimum PA complications in the mid-term. This added to the early postoperative benefits, makes the APAB an attractive alternative to the CPAB.
authors.affiliation: Department of Cardiothoracic & Vascular Surgery, All India Institute of Medical Sciences, New Delhi 110029, India. Electronic address: sachintalwar@hotmail.com.
authors.forename: Sachin
authors.initials: S
authors.lastname: Talwar
authors.affiliation: Department of Cardiothoracic & Vascular Surgery, All India Institute of Medical Sciences, New Delhi 110029, India.
authors.forename: Neeraj Aravind
authors.initials: NA
authors.lastname: Kamat
authors.affiliation: Department of Cardiothoracic & Vascular Surgery, All India Institute of Medical Sciences, New Delhi 110029, India.
authors.forename: Shiv Kumar
authors.initials: SK
authors.lastname: Choudhary
authors.affiliation: Cardiology Cardiothoracic Centre, Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi 110029, India.
authors.forename: Sivasubramanian
authors.initials: S
authors.lastname: Ramakrishnan
authors.affiliation: Cardiology Cardiothoracic Centre, Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi 110029, India.
authors.forename: Anita
authors.initials: A
authors.lastname: Saxena
authors.affiliation: Cardiology Cardiothoracic Centre, Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi 110029, India.
authors.forename: Rajnish
authors.initials: R
authors.lastname: Juneja
authors.affiliation: Cardiology Cardiothoracic Centre, Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi 110029, India.
authors.forename: Shyam Sunder
authors.initials: SS
authors.lastname: Kothari
authors.affiliation: Department of Cardiothoracic & Vascular Surgery, All India Institute of Medical Sciences, New Delhi 110029, India.
authors.forename: Balram
authors.initials: B
authors.lastname: Airan
mesh_terms: D000792:Angiography; D005260:Female; D005500:Follow-Up Studies; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008026:Ligation; D008297:Male; D010166:Palliative Care / Q000379:methods*; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*
keywords: Congenital heart disease; Palliative procedures; Pulmonary artery band