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. 2024 Apr 29:11:1368921.
doi: 10.3389/fcvm.2024.1368921. eCollection 2024.

Pulmonary artery banding: a 20-year experience at a tertiary care center in a developing country

Racha Ghoussaini  1 , Rana Zareef  2 , Adham Makarem  3 , Nour Younis  4 , Sally Al Hassan  1 , Issam El Rassi  5 , Munir Obeid  6 , Fadi Bitar  2   7 , Mariam Arabi  2   7
Affiliations

Pulmonary artery banding: a 20-year experience at a tertiary care center in a developing country

Racha Ghoussaini et al. Front Cardiovasc Med. .

Abstract

Aim: Pulmonary artery banding serves as an important palliative procedure used for the management of several congenital heart lesions. This study aims to describe a 20-year experience of pulmonary artery banding at a tertiary care center in a developing country.

Methods: This is a retrospective chart review of patients who underwent pulmonary artery banding over a 20-year period between January 2000 and July 2020 in a tertiary care center in a developing country. Data regarding demographics, indications, diagnosis, echocardiographic findings, postoperative complications, hospital stay, and outcomes were recorded.

Results: A total of 143 patients underwent pulmonary artery banding between 2000 and 2020, with a decrease from approximately 15 surgeries per year in 2012 to 1-2 surgeries a year in 2020. At the time of banding, the median age of patients was approximately 90 days [interquartile range, IQR, 30-150 days]. Four patients (2.8%) died during the band placement. No significant association was observed between baseline characteristics or type of heart defect at presentation and postoperative morbidity and mortality.

Conclusion: Pulmonary artery banding remains useful in a subset of congenital heart lesions and as a surgical palliation, with relatively low mortality, allowing postponement of total correction to a higher weight. This technique continues to be valuable in developing countries or for heart surgical programs with limited resources.

Keywords: congenital heart defect; congenital heart disease; congenital heart surgery; palliative surgery; pulmonary artery banding.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Illustration of the pulmonary artery banding.
Figure 2
Figure 2
Flowchart of the study sample.
Figure 3
Figure 3
Annual number of pulmonary artery banding surgeries performed at our institution.
Figure 4
Figure 4
(A,B) Distribution of the pulmonary artery banding surgeries based on the structural heart lesion at diagnosis prior to 2010 (A) and from 2010 and onwards (B).
See this image and copyright information in PMC

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