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The Journal of Thoracic and Cardiovascular Surgery, Vol 92, 385-390, Copyright © 1986 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
RB Mee
Since early 1981 I have been banding the pulmonary arteries of patients in
whom severe right ventricular dysfunction has developed after atrial repair
of transposition of the great arteries. The purpose of banding is to
"retrain" the left ventricle. Of the four patients so treated, two
developed adequate left ventricular pressures and have successfully
undergone an arterial switch and takedown of the atrial repair. The early
results are impressive. Right ventricular function has returned to normal
in both patients and tricuspid valve regurgitation has resolved. In one
patient moderate aortic valve regurgitation also appears to have largely
resolved.
ARTICLES
Severe right ventricular failure after Mustard or Senning operation. Two-stage repair: pulmonary artery banding and switch
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