Renato S. Assad, MD, PhD, Marina M

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Presentation transcript:

A Novel Adjustable Pulmonary Artery Banding System for Hypoplastic Left Heart Syndrome Renato S. Assad, MD, PhD, Marina M. Zamith, MD, PhD, Maria Fernanda Silva, MD, Petrônio G. Thomaz, MD, Leonardo A. Miana, MD, Vitor C. Guerra, MD, Carlos A. Pedra, MD, PhD, Miguel B. Marcial, MD, PhD The Annals of Thoracic Surgery Volume 84, Issue 6, Pages 2081-2084 (December 2007) DOI: 10.1016/j.athoracsur.2007.05.004 Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 The adjustable pulmonary artery banding system (ABS [Silimed Inc, Rio de Janeiro, Brazil]) is made from all silicone. It consists of three parts: (1) the banding ring, (2) the inflation reservoir, and (3) the connecting tube (70 mm × 2 mm). The Annals of Thoracic Surgery 2007 84, 2081-2084DOI: (10.1016/j.athoracsur.2007.05.004) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Bilateral pulmonary artery banding with the new percutaneously adjustable system (4 mm) implanted through a mid-sternotomy. The inflation buttons are to be subcutaneously implanted in the chest wall of the patient. The Annals of Thoracic Surgery 2007 84, 2081-2084DOI: (10.1016/j.athoracsur.2007.05.004) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Inflating reservoirs positioned in the infraclavicular area (arrows), one for each pulmonary artery for independent percutaneous blood flow adjustment. The Annals of Thoracic Surgery 2007 84, 2081-2084DOI: (10.1016/j.athoracsur.2007.05.004) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Hemodynamics and arterial oxygen saturation during pulmonary artery banding adjustments. (ASD = atrial septal defect; OR = operating room (stage I procedure); PAB VOLUME = pulmonary artery banding (total volume injected in both inflating reservoirs); POD = postoperative day.) The Annals of Thoracic Surgery 2007 84, 2081-2084DOI: (10.1016/j.athoracsur.2007.05.004) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions