ID 111831
Title Alternative
Pulmonary artery banding for cyanotic congenital heart defects in early infancy
チアノーゼ性心疾患に対する肺動脈絞扼術
Author
Katoh, Itsuo The University of Tokushima
Hori, Takaki The University of Tokushima
Masuda, Yutaka The University of Tokushima
Chikugo, Fumio The University of Tokushima
Shimoe, Yasushi The University of Tokushima
Kawahito, Tomohisa The University of Tokushima
Fukuta, Yasushi The University of Tokushima
Matsuoka, Suguru The University of Tokushima
Keywords
cyanotic congenital heart defect
pulmonary artery banding
early infancy
anatomical repair
Fontan type repair
Content Type
Journal Article
Description
The early and late results of pulmonary artery banding (PAB) for cyanotic heart defects in early infancy were reviewed. Nine patients were divided into two groups : Group F (five patiens) in which Fontan type repairs were expected as definitive repair in the near future ; Group A (four patients) in which anatomical repairs were programmed in the near future. Six patients had a good early postoperative course, and then consisted of three patients of Group A and three patients of Group F. The band circumference, intraoperative pulmonary-to-systemic systolic pressure ratio and arterial oxygen tension after PAB in the good cases of Group A were 20.0±1.7 mm + 1 mm for each kilogram of the infant's weight, 0.52±0.07 and 46.4±11.3 mmHg respectively. These indices in the good cases of Group F were 21.1±1.7 mm + 1 mm for each kilogram of the infant's weight, 0.55±0.02 and 38.8±1.0 mmHg respectively. The standard deviations of every index for PAB in Group F were small. Three patients of Group A have undergone successful total correction. Intraoperative pulmonary-to-systemic systolic pressure ratio of 0.5 as the index of PAB is preferable to Group A. However, only two patient of Group F were waiting for Fontan type definitive repair. For the patient especially in Group F, careful observation and well-timed staged repair with regard to subaortic stenosis and restrictive atrial septal defect and ventricular septal defect are necessary after accurate PAB as mentioned above.
Journal Title
Shikoku Acta Medica
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
51
Issue
2-4
Start Page
64
End Page
74
Sort Key
64
Published Date
1995-08-25
EDB ID
FullText File
language
jpn
TextVersion
Publisher
departments
Medical Sciences