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The Journal of Thoracic and Cardiovascular Surgery, Vol 86, 582-586, Copyright © 1983 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Extrathoracically adjustable pulmonary artery banding

R Muraoka, M Yokota, M Aoshima, S Nomoto, I Kyoku, A Kobayashi, H Nakano, K Ueda and A Saito

A new technique of adjustable pulmonary artery banding is presented. A tourniquet system has been used in eight consecutive infants with complex congenital cardiac anomalies during the past 2 years. They had severe congestive heart failure, and six of them required inotropic support preoperatively. All survived the banding procedure and there were no hospital deaths. Four of the eight infants required additional adjustment of the band to improve hypoxemia or persistent congestive heart failure 3 hours to 4 months postoperatively. Each adjustment was made easily via a small skin incision without thoracotomy. This technique allows fine adjustment by gentle and delicate tightening and loosening of the band during and after operation, so that the technique avoids most mortality and morbidity related to an inappropriate banding and brings satisfactory symptomatic palliation.

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