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find Author "DU Xinwei ." 1 results
  • Pulmonary Artery Banding for Morphologic Left Ventricular Training in Corrected Transposition of the Great Arteries

    Abstract: Objective To evaluate clinical outcomes of pulmonary artery banding for morphologic left ventricular training in corrected transposition of the great arteries.?Methods?A total of 89 patients with corrected transposition of the great arteries underwent surgical repair in Shanghai Children’s Medical Center from January 2007 to December 2011 year. Among them, 11 patients underwent pulmonary artery banding, whose clinical records were retrospectively analyzed. Except that one patient was 12 years, all other patients were 3 to 42 (16.40±11.67) months old and had a body weight of 6 to 32 (11.70±7.20)kg. All the patients were diagnosed by echocardiogram and angiocardiogram.?Results?There was no postoperative death after pulmonary artery banding in 11 patients. The pulmonary arterial pressure/systemic blood pressure ratio (Pp/Ps) was 0.3 to 0.6 (0.44±0.09) preoperatively and 0.6 to 0.8 (0.70±0.04) postoperatively with statistical difference (P<0.01). Tricuspid regurgitation was mild in 2 (18.2%) patients, moderate in 5 (45.4%), severe in 4 (36.4%)preoperatively,and none in 2(18.2%)patients, mild in 7 (63.6%),and mild to moderate in 2 (18.2%)postoperatively. Five patients underwent staged double-switch operation after pulmonary artery banding at 15.20±8.31 months, and 1 patient died. The other 6 patients were followed up for 18.83±3.43 months, and echocardiogram showed tricuspid regurgitation as trivial in 2 (33.3%), mild in 3 (50.0%), and moderate in 1 (16.7%)patient.?Conclusions?In patients with corrected transposition of the great arteries, pulmonary artery banding is helpful to reduce tricuspid regurgitation, and morphologic left ventricle can be trained for staged double-switch operation with good clinical outcomes. It is important to follow up these patients regularly to evaluate their morphologic left ventricular function and tricuspid regurgitation after pulmonary artery banding.

    Release date:2016-08-30 05:51 Export PDF Favorites Scan
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