Is routine rapid-staged bilateral pulmonary artery banding before stage 1 Norwood a viable strategy? Noritaka Ota, MD, Masaya Murata, MD, Yuko Tosaka,

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Presentation transcript:

Is routine rapid-staged bilateral pulmonary artery banding before stage 1 Norwood a viable strategy? Noritaka Ota, MD, Masaya Murata, MD, Yuko Tosaka, MD, PhD, Yujiro Ide, MD, Maiko Tachi, MD, Hiroki Ito, MD, Ai Sugimoto, MD, Kisaburo Sakamoto, MD The Journal of Thoracic and Cardiovascular Surgery Volume 148, Issue 4, Pages 1519-1525 (October 2014) DOI: 10.1016/j.jtcvs.2013.11.053 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Pulmonary artery debanding during subsequent Norwood operation. A, The pulmonary artery bands were removed, and the heart continued to eject. B, The periadventitial scar tissue was carefully excised. C, Temporary occlusion of the branch pulmonary arteries peripheral to the sites of previous banding helped to expand the proximal branches and enabled us to determine that fixed stenosis was not present. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 1519-1525DOI: (10.1016/j.jtcvs.2013.11.053) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Patient status in the present cohort. bPAB, Bilateral pulmonary artery banding; pNW, primary Norwood; NW, Norwood; LD, late death; ED, early death; BDG, bidirectional cavopulmonary shunt. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 1519-1525DOI: (10.1016/j.jtcvs.2013.11.053) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Kaplan-Meier analyses for freedom from death. bPAB, Bilateral pulmonary artery shunt (group); pNW, primary Norwood procedure (group). The Journal of Thoracic and Cardiovascular Surgery 2014 148, 1519-1525DOI: (10.1016/j.jtcvs.2013.11.053) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions