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J Thorac Cardiovasc Surg 2003;126:2105-2106
© 2003 The American Association for Thoracic Surgery

Letter to the editor

Reply to the editor

Boudewijn P. J. Leeuwenburgh, MSca,b, Paul H. Schoof, MDc, Paul Steendijk, PhDb, Jan Baan, PhDb, Wolter J. Mooi, MD, PhDd, Willem A. Helbing, MDa,e

a Department of Pediatrics (Pediatric Cardiology), Leiden University Medical Center, Leiden, The Netherlands
b Department of Cardiology (Cardiac Physiology Laboratory), Leiden University Medical Center, Leiden, The Netherlands
c Department of CardioThoracic Surgery, Leiden University Medical Center, Leiden, The Netherlands
d Department of Pathology, The Netherlands Cancer Institute, Amsterdam, The Netherlands
e Department of Pediatrics (Pediatric Cardiology), Erasmus Medical Center—Sophia Children's Hospital, Rotterdam, The Netherlands

The first 20% of the full text of this article appears below.

We thank Dr Sievers for his important comments. He is right in pointing out that pulmonary artery banding with the aim of training the subpulmonary ventricle is a delicate procedure that should be done with the utmost caution. The ability of the subpulmonary ventricle to adapt to the increased afterload imposed by the pulmonary artery constrictor depends on the age of the patient, baseline ventricular function, and the timing and level of afterload increase.1,2

Dr Sievers points out a study by his group in which it was shown that a slow progression of pressure loading (1.5 mm Hg/d) results in a lesser increase . . . [Full Text of this Article]


Related Article

Chronic and adjustable pulmonary artery banding: reflections on old knowledge
H. H. Sievers
J. Thorac. Cardiovasc. Surg. 2003 126: 2104-2105. [Extract] [Full Text] [PDF]





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