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Palliative Management by Pulmonary Artery Binding

Irwin Boruchow, MD; John A. Waldhausen, MD; William W. Miller, MD; William J. Rashkind, MD; Sidney Friedman, MD

AMA Arch Surg. 1969;99(6):716-722.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The management of infants with congenital heart disease and pulmonary hypertension with increased pulmonary blood flow has remained a challenge to both the cardiologist and the surgeon. The mortality in this group remains high despite a better understanding of the natural history of such lesions and the availability of various operative approaches. Controversy exists concerning the use of early total correction,¹ palliation by pulmonary artery constriction,² or medical management alone. During the past three years we have employed an aggressive approach toward pulmonary artery hypertension in infants by the application of pulmonary artery banding. The present report deals with the results of this method of management. Also included are a few patients operated upon prior to this time.

Clinical Material and Methods

The 40 infants treated ranged in age from seven days to 24 months (Table 1). Over half of these were under 6 months old and 72% . . . [Full Text PDF of this Article]

Author Affiliations
Philadelphia

From the departments of surgery (Drs. Boruchow and Waldhausen) and pediatrics (Cardiology) (Drs. Miller, Rashkind, and Friedman), University of Pennsylvania School of Medicine and the Children's Hospital of Philadelphia, Philadelphia.

Footnotes
Submitted for publication Aug 5, 1969.

Read before the 17th scientific meeting of the North American Chapter of the International Cardiovascular Society, New York, July 11, 1969.

Reprint requests to 3400 Spruce St, Philadelphia 19104 (Dr. Waldhausen).

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