Does a temporary adjustable pulmonary artery band improve left ventricular function recovery in patients undergoing ALCAPA repair?
Patients undergoing Anomalous Left Coronary Artery From the Pulmonary Artery (ALCAPA) repair, including subgroups with ejection fraction (EF) > 25% and EF < 25%
Temporary adjustable pulmonary artery band (PAB)
No pulmonary artery band
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.
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.
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Steve Bibevski
Mark Ruzmetov
John N. Dentel
World Journal for Pediatric and Congenital Heart Surgery
Joe DiMaggio Children's Hospital
Memorial Healthcare System
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Bibevski et al. (Wed,) studied this question.
www.synapsesocial.com/papers/69fd7e90bfa21ec5bbf06cdd — DOI: https://doi.org/10.1177/21501351261436747