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Intensive Care Medicine
Published in: Intensive Care Medicine 1/2008

01-01-2008 | Physiological Note

Interpretation of the echocardiographic pressure gradient across a pulmonary artery band in the setting of a univentricular heart

Authors: Shane M. Tibby, Andrew Durward

Published in: Intensive Care Medicine | Issue 1/2008

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Excerpt

Pulmonary artery (PA) banding has been established as a palliative surgical technique for congenital heart defects for over 50 years [1]. With the advent of earlier corrective surgery, the indications for PA banding have changed over time [2, 3]. Currently these include: (a) limitation of pulmonary blood flow in the setting of an excessive left-to-right shunt; (b) regulation of pulmonary blood flow in the univentricular circulation; and (c) a training procedure for the left ventricle prior to conversion to the systemic pumping chamber (late presentation of D-transposition of the great arteries, or prior to a double-switch procedure with L-transposition). …
Literature
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Muller WH Jr, Danimann JF Jr (1952) The treatment of certain congenital malformations of the heart by the creation of pulmonic stenosis to reduce pulmonary hypertension and excessive pulmonary blood flow; a preliminary report. Surg Gynecol Obstet 95:213–219PubMed
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Corno AF (2005) Pulmonary artery banding. Swiss Med Wkly 135:515–519PubMed
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Granton JT, Rabinovitch M (2002) Pulmonary arterial hypertension in congenital heart disease. Cardiol Clin 20:441–457PubMedCrossRef
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Pinho P, von Oppell UO, Brink J, Hewitson J (1997) Pulmonary artery banding: adequacy and long-term outcome. Eur J Cardiothorac Surg 11:105–111PubMedCrossRef
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Fyfe DA, Currie PJ, Seward JB, Tajik AJ, Reeder GS, Mair DD, Hagler DJ (1984) Continuous-wave Doppler determination of the pressure gradient across pulmonary artery bands: hemodynamic correlation in 20 patients. Mayo Clin Proc 59:744–750PubMed
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Wernovsky G, Bove EL (1998) Single ventricle lesions. In: Chang AC, Hanley FL, Wernovsky G, Wessel DL (eds) Pediatric cardiac intensive care. Lippincott Williams and Wilkins, Philadelphia, pp 275–276
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Barnea O, Austin EH, Richman B, Santamore WP (1994) Balancing the circulation: theoretic optimization of pulmonary/systemic flow ratio in hypoplastic left heart syndrome. J Am Coll Cardiol 24:1376–1381PubMedCrossRef
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Charpie JR, Dekeon MK, Goldberg CS, Mosca RS, Bove EL, Kulik TJ (2001) Postoperative hemodynamics after Norwood palliation for hypoplastic left heart syndrome. Am J Cardiol 87:198–202PubMedCrossRef
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Taeed R, Schwartz SM, Pearl JM, Raake JL, Beekman RH III, Manning PB, Nelson DP (2001) Unrecognized pulmonary venous desaturation early after Norwood palliation confounds Gp:Gs assessment and compromises oxygen delivery. Circulation 103:2699–2704PubMed
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Albus RA, Trusler GA, Izukawa T, Williams WG (1984) Pulmonary artery banding. J Thorac Cardiovasc Surg 88:645–653PubMed
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Rivers EP, Ander DS, Powell D (2001) Central venous oxygen saturation monitoring in the critically ill patient. Curr Opin Crit Care 7:204–211PubMedCrossRef
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Li J, Zhang G, McCrindle BW, Holtby H, Humpl T, Cai S, Caldarone CA, Redington AN, Van Arsdell GS (2007) Profiles of hemodynamics and oxygen transport derived by using continuous measured oxygen consumption after the Norwood procedure. J Thorac Cardiovasc Surg 133:441–448PubMedCrossRef
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Metadata
Title
Interpretation of the echocardiographic pressure gradient across a pulmonary artery band in the setting of a univentricular heart
Authors
Shane M. Tibby
Andrew Durward
Publication date
01-01-2008
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 1/2008
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-007-0884-8

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