PulseExploreJournal ClubDebatesTrendingResearchersJournals
Instagram
HomeExploreJournal ClubTrending
Synapse
⌘+K
Synapse
May 8, 2026World Journal for Pediatric and Congenital Heart Surgery1 citations

Impact of Adjustable Pulmonary Artery Band on Outcomes of Anomalous Left Coronary Artery From the Pulmonary Artery (ALCAPA) Repair

View Full Paper
SBSteve BibevskiMRMark RuzmetovJDJohn N. Dentel

Key Result

Temporary adjustable pulmonary artery banding in ALCAPA patients with severe dysfunction (EF < 25%) accelerated the recovery of normal ejection fraction compared to no banding.

Key Points

  • This research aims to evaluate the effectiveness of adjustable pulmonary artery banding in improving outcomes for patients undergoing ALCAPA repair.
  • Evaluated patients with ALCAPA over a 10-year period
  • Compared outcomes between patients treated with adjustable pulmonary artery band versus those without
  • Assessed mitral regurgitation grade and left ventricular function
  • Patients treated with PAB showed significant improvement in ejection fraction compared to those without PAB
  • No mortality observed in patients with ejection fraction greater than 25%
  • Those with ejection fraction less than 25% experienced earlier normalization of function with PAB

Structured PICO

Does a temporary adjustable pulmonary artery band improve left ventricular function recovery in patients undergoing ALCAPA repair?

P
Population
Patients undergoing Anomalous Left Coronary Artery From the Pulmonary Artery (ALCAPA) repair, including subgroups with ejection fraction (EF) > 25% and EF < 25%
I
Intervention
Temporary adjustable pulmonary artery band (PAB)
C
Comparator
No pulmonary artery band
O
Outcome
Improvement of mitral regurgitation (MR) grade, left ventricular (LV) function, and mortalitysurrogate

Temporary adjustable pulmonary artery banding may accelerate the recovery of left ventricular function in ALCAPA patients with severe dysfunction (EF < 25%) undergoing repair.

Abstract

There is marked improvement of MR grade and LV function, and no mortality during a 10-year period in the group with EF > 25%. Patients with EF < 25% treated with a PAB demonstrated an improved trajectory toward EF improvement, achieving normal function earlier than those without PA band. Temporary adjustable PAB may be beneficial in ALCAPA patients with severe dysfunction.

Ask AI
Helpful
Bookmark
Share
View Full Paper

Cite This Study

Bibevski et al. (2026) studied this question. Temporary adjustable pulmonary artery banding in ALCAPA patients with severe dysfunction (EF < 25%) accelerated the recovery of normal ejection fraction compared to no banding.

synapsesocial.com/papers/69fd7e90bfa21ec5bbf06cddhttps://doi.org/10.1177/21501351261436747
Ask AI
Helpful
Bookmark
Share
View Full Paper