naa a22 4500 510727743 CHVBK 20180411082941.0 cr unu---uuuuu 180411e20130601xx s 000 0 eng 10.1007/s11748-013-0221-9 doi (NATIONALLICENCE)springer-10.1007/s11748-013-0221-9 Flow-adjustable bilateral pulmonary artery banding in the neonatal period for severe congenital heart diseases [Elektronische Daten] [Akihiro Yoshimoto, Takashi Miyamoto, Shinichi Ozaki, Tohru Kobayashi, Tomio Kobayashi] Objective: We perform bilateral pulmonary artery banding (BPAB) combined with postoperative percutaneous pulmonary artery balloon dilatation (PABD) as stage I palliation for severe congenital heart diseases. The objective of this study was to evaluate the efficacy of our management strategy for the treatment of severe congenital heart diseases. Methods: From October 2007 to March 2010, 9 consecutive patients underwent BPAB. Subsequently, all patients had a second-stage operation; we performed biventricular repair for 3 cases and univentricular repair for 6 cases. Clinical data were obtained by retrospectively reviewing medical records. Results: There was no early mortality (30days). After the neonatal period, we controlled the pulmonary blood flow to be slightly elevated by PABD. Therefore, the Qp/Qs level was around 1.0, which might contribute to achieving good pulmonary artery growth and avoid intraoperative pulmonary arterioplasty. Except for one patient, intraoperative pulmonary arterioplasty in the second-stage operation was not necessary. Regarding Norwood procedure, an 8mm RV-PA (right ventricle-pulmonary artery) conduit was available for respective patients. Conclusions: Although further studies are warranted, our strategy might prove to be a valid clinical option for the treatment of severe congenital heart diseases. The Japanese Association for Thoracic Surgery, 2013 Bilateral pulmonary artery banding nationallicence Percutaneous pulmonary artery balloon dilatation nationallicence Severe congenital heart disease nationallicence Mortality and morbidity nationallicence Hybrid strategy nationallicence Yoshimoto Akihiro Department of Cardiovascular Surgery and Cardiology, Gunma Children's Medical Center, 779, Shimohakoda, Hokkitsu, 377-8577, Shibukawa, Gunma, Japan aut Miyamoto Takashi Department of Cardiovascular Surgery and Cardiology, Gunma Children's Medical Center, 779, Shimohakoda, Hokkitsu, 377-8577, Shibukawa, Gunma, Japan aut Ozaki Shinichi Department of Cardiovascular Surgery and Cardiology, Gunma Children's Medical Center, 779, Shimohakoda, Hokkitsu, 377-8577, Shibukawa, Gunma, Japan aut Kobayashi Tohru Department of Cardiovascular Surgery and Cardiology, Gunma Children's Medical Center, 779, Shimohakoda, Hokkitsu, 377-8577, Shibukawa, Gunma, Japan aut Kobayashi Tomio Department of Cardiovascular Surgery and Cardiology, Gunma Children's Medical Center, 779, Shimohakoda, Hokkitsu, 377-8577, Shibukawa, Gunma, Japan aut General Thoracic and Cardiovascular Surgery Springer Japan 61/6(2013-06-01), 340-344 1863-6705 61:6<340 2013 61 11748 https://doi.org/10.1007/s11748-013-0221-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11748-013-0221-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Yoshimoto Akihiro Department of Cardiovascular Surgery and Cardiology, Gunma Children's Medical Center, 779, Shimohakoda, Hokkitsu, 377-8577, Shibukawa, Gunma, Japan aut NATIONALLICENCE 700 1- Miyamoto Takashi Department of Cardiovascular Surgery and Cardiology, Gunma Children's Medical Center, 779, Shimohakoda, Hokkitsu, 377-8577, Shibukawa, Gunma, Japan aut NATIONALLICENCE 700 1- Ozaki Shinichi Department of Cardiovascular Surgery and Cardiology, Gunma Children's Medical Center, 779, Shimohakoda, Hokkitsu, 377-8577, Shibukawa, Gunma, Japan aut NATIONALLICENCE 700 1- Kobayashi Tohru Department of Cardiovascular Surgery and Cardiology, Gunma Children's Medical Center, 779, Shimohakoda, Hokkitsu, 377-8577, Shibukawa, Gunma, Japan aut NATIONALLICENCE 700 1- Kobayashi Tomio Department of Cardiovascular Surgery and Cardiology, Gunma Children's Medical Center, 779, Shimohakoda, Hokkitsu, 377-8577, Shibukawa, Gunma, Japan aut NATIONALLICENCE 773 0- General Thoracic and Cardiovascular Surgery Springer Japan 61/6(2013-06-01), 340-344 1863-6705 61:6<340 2013 61 11748 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer