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A Review of 89 Cases

Brent L. Horsley, MD; James R. Zuberbuhler, MD; Henry T. Bahnson, MD

AMA Arch Surg. 1970;101(6):776-779.

Abstract
Results of banding of the pulmonary artery have been reviewed in 87 patients who because of increased pulmonary blood flow manifested various signs of cardiac insufficiency or in whom we desired to avert the threat of increased pulmonary vascular resistance. In this group of infants and young children open cardiac correction of the underlying defect is associated with a high risk. Survival was better in infants older than 6 months of age. Simpler defects were not associated with a higher survival rate. Survival has improved considerably with greater experience. The most important factor in the increased survival has been selecting the degree of pulmonary artery constriction which is sufficient to give a sustained 15% to 25% rise in systemic systolic arterial pressure.

Author Affiliations
Pittsburgh

From the departments of surgery and pediatrics, University of Pittsburgh School of Medicine; and Children's Hospital of Pittsburgh.

Footnotes
Accepted for publication Aug 7, 1970.

Read before the 18th scientific meeting of the International Cardiovascular Society, Chicago, June, 1970.

Reprint requests to Department of Surgery, University of Pittsburgh School of Medicine, Pittsburgh 15213 (Dr. Horsley).

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