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

  • Shane M. Tibby
  • Andrew Durward

Abstract

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-toright 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).

Keywords

Oxygen Saturation Hypoplastic Left Heart Syndrome Arterial Oxygen Saturation Pulmonary Artery Band Central Venous Oxygen Saturation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Shane M. Tibby
    • 1
  • Andrew Durward
    • 1
  1. 1.Paediatric Intensive Care UnitEvelina Children’s Hospital, Guy’s and Saint Thomas’ NHS TrustLondonUK

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