Place du cerclage de l'artere pulmonaire dans les cardiopathies congenitales: a propos de 27 cas

ABSTRACT

We report our experience of 27 patients [with mean age of 9 months] that have had a pulmonary artery banding [PAB] for a congenital heart disease with pulmonary hypertension. We noted an early mortality of 14.8%. 14 patients could have total repair, 7 are waiting for repair and 2 developed pulmonary vascular disease despite the banding [one with tricuspid atresia and one with single ventricle]. PAB is a delicate operation, high early mortality is due to the bad cardiac and pulmonary condition of the children, such operation can be definitive in some very complex lesions; in the other cases it allows patients to grow and to be corrected some months later