Pulmonary Artery Banding in Post-tricuspid Congenital Cardiac Shunting Defects with High Pulmonary Vascular Resistance

Reports of “treat and repair” of cardiac shunting lesions with inoperably high pulmonary vascular resistance (PVR) mostly concern pre-tricuspid defects; post -tricuspid lesions are different. We report our experience with pulmonary artery (PA) banding ± targeted pulmonary hypertension medications in...

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Bibliographic Details
Published in:Pediatric cardiology 2019-04, Vol.40 (4), p.719-725
Main Authors: Kulik, Thomas J., McSweeney, Julia E., Tella, Joseph, Mullen, Mary P.
Format: Article
Language:English
Subjects:
Cardiac Surgery
Cardiology
Cardiovascular agents
Genetic disorders
Medicine
Medicine & Public Health
Original Article
Pulmonary hypertension
Vascular Surgery
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Summary:Reports of “treat and repair” of cardiac shunting lesions with inoperably high pulmonary vascular resistance (PVR) mostly concern pre-tricuspid defects; post -tricuspid lesions are different. We report our experience with pulmonary artery (PA) banding ± targeted pulmonary hypertension medications in five patients with a large VSD and inoperably high PVR, and review previous reports of PA banding with post-tricuspid defects. Three of our 5 patients had mean PAP > 50 mmHg after banding and no or only a transient fall in PVR. Two patients had mean PAP 
ISSN:0172-0643
1432-1971
DOI:10.1007/s00246-019-02054-x