Impaired Cerebral Perfusion After Bilateral Pulmonary Arterial Banding in Patients With Hypoplastic Left Heart Syndrome Hirofumi Saiki, MD, Clara Kurishima,

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Impaired Cerebral Perfusion After Bilateral Pulmonary Arterial Banding in Patients With Hypoplastic Left Heart Syndrome Hirofumi Saiki, MD, Clara Kurishima, MD, Satoshi Masutani, MD, Masanori Tamura, MD, Hideaki Senzaki, MD The Annals of Thoracic Surgery Volume 96, Issue 4, Pages 1382-1388 (October 2013) DOI: 10.1016/j.athoracsur.2013.05.108 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Changes in Doppler cerebral flow patterns. (A) Proximal callosomarginal and (B) right medial cerebral arteries after bilateral pulmonary artery banding (PAB). Data are expressed as mean ± standard deviation. Vs, Vd, and Vm represent the peak systolic, end-diastolic, and mean velocities, respectively. The Annals of Thoracic Surgery 2013 96, 1382-1388DOI: (10.1016/j.athoracsur.2013.05.108) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) An example of cerebral flow pattern of callosomarginal artery before and after bilateral pulmonary artery banding (PAB). (B) An example of Doppler velocity (left) and color width (right) of retrograde flow at the aortic arch. The Annals of Thoracic Surgery 2013 96, 1382-1388DOI: (10.1016/j.athoracsur.2013.05.108) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) Comparison of oxygenation balance index (OBI) between the patients treated with bilateral pulmonary artery banding (bil-PAB) and those treated with the Norwood procedure. (B) Correlation between OBI and age in patients after bil-PAB. The Annals of Thoracic Surgery 2013 96, 1382-1388DOI: (10.1016/j.athoracsur.2013.05.108) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 (A) Relationship between oxygenation balance index (OBI) and systemic output in patients who underwent bilateral pulmonary artery banding (PAB) (closed circles) and those who underwent the Norwood procedure (open diamonds). (B) Relationship between arteriovenous oxygen saturation gap in the upper body (So2aAo − So2SVC) and pulmonary blood flow in patients who underwent bilateral PAB (closed circles) and those who underwent the Norwood procedure (open diamonds). The Annals of Thoracic Surgery 2013 96, 1382-1388DOI: (10.1016/j.athoracsur.2013.05.108) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Comparison of oxygen balance index (OBI) between the patients who underwent prostaglandin infusion and those who underwent stent implantation. The Annals of Thoracic Surgery 2013 96, 1382-1388DOI: (10.1016/j.athoracsur.2013.05.108) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions