{"id":13055,"date":"2014-08-02T02:30:55","date_gmt":"2014-08-02T02:30:55","guid":{"rendered":"http:\/\/cardiophile.org\/?p=13055"},"modified":"2023-01-31T13:45:52","modified_gmt":"2023-01-31T08:15:52","slug":"pulmonary-artery-banding","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/pulmonary-artery-banding\/","title":{"rendered":"Pulmonary artery banding"},"content":{"rendered":"<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/10_n1JlzGrM\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen=\"\"><\/iframe><\/p>\n<h2><span style=\"color: #008000;\">Pulmonary artery banding<\/span><\/h2>\n<p><span style=\"color: #0000ff;\">Pulmonary artery banding is used to reduce the pulmonary blood flow in situations of high pulmonary blood flow as a result of&nbsp;left to right shunts.<\/span> Classical example is a large ventricular septal defect where immediate surgical repair is not feasible.<\/p>\n<p>&#8220;Swiss cheese VSD&#8221; in which there are multiple muscular VSDs, adequate surgical repair may not be easy.&nbsp;Some of these defects may even have multiple right ventricular openings for a single left ventricular opening. When the surgical VSD closure is done from the right ventricle, when one VSD is closed, another one may be seen puffing from nearby.<\/p>\n<p>Pulmonary banding allows reduction of pulmonary blood flow to reasonable levels to prevent heart failure and development of irreversible obstructive pulmonary vascular disease.&nbsp;This permits growth of the baby and possible definitive repair at a later date. <span style=\"color: #ff00ff;\"><em>Balloon expandable pulmonary artery bands<\/em><\/span> are also there, which can be deployed and balloon expanded at a later date when needed as the baby grows up.<\/p>\n<p>Circumference of the band can be calculated according to the <span style=\"color: #0000ff;\"><strong>Trussler rule<\/strong><\/span>: 20 mm + 1 mm\/kg body weight.<\/p>\n<p><strong><span style=\"color: #0000ff;\">Pulmonary artery banding in cyanotic congenital heart disease<\/span><\/strong><\/p>\n<p>Pulmonary artery banding can also be used in single ventricular physiologies like tricuspid atresia with large ventricular septal defect to reduce pulmonary blood flow and permit a more definitive procedure later in life. Another situation in which temporary PA banding is resorted to is for training the left ventricle in case of planned arterial switch operation in D-transposition of great arteries, beyond the usual time window.<\/p>\n<p>In general, arterial switch operation for D-TGA has to be performed within two to three weeks of life. Beyond that period, the left ventricle facing the pulmonary circulation regresses in musculature and will not be able to take up the function of future systemic pump after arterial switch operation. Depending on the period at which the arterial switch is performed, intra operative left ventricular training or two stage procedure can be planned.<\/p>\n<p>After an initial PA banding, when the left ventricular muscle is able to generate sufficient pressure to overcome the systemic vascular resistance, arterial switch operation is performed. PA band is removed after the definitive procedure. PA banding can also be considered prior to double switch operation for corrected transposition of great arteries, also known as L-TGA, L-transposition of great arteries.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pulmonary artery banding is used to reduce the pulmonary blood flow in situations of high pulmonary blood flow as a result of left to right shunts.<\/p>\n","protected":false},"author":1,"featured_media":58385,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[22],"tags":[330,449,948,1002,1033,1036,1206,2015,2017,2042,2736,3120,3121,3254,3596,3793,3807,3808,3862,4022,4051,4052,4211],"class_list":["post-13055","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cardiac-surgery","tag-arterial-switch","tag-balloon-expandable-pulmonary-artery-bands","tag-corrected-transposition-of-great-arteries","tag-ctga","tag-d-tga","tag-d-transposition-of-great-arteries","tag-double-switch-operation","tag-l-tga","tag-l-transposition-of-great-arteries","tag-large-ventricular-septal-defect","tag-pa-banding-in-cyanotic-congenital-heart-disease","tag-pulmonary-artery-banding","tag-pulmonary-artery-banding-in-cyanotic-congenital-heart-disease","tag-reduce-pulmonary-blood-flow","tag-single-ventricular-physiology","tag-surgical-vsd-closure","tag-swiss-cheese-ventricular-septal-defects","tag-swiss-cheese-vsd","tag-temporary-pa-banding","tag-tricuspid-atesia","tag-trussler-rule","tag-trussler-rule-for-calculation-of-pa-band-circumference","tag-vsd"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Pulmonary artery banding<\/title>\n<meta name=\"description\" content=\"Pulmonary artery banding is used to reduce the pulmonary blood flow in situations of high pulmonary blood flow as a result of left to right shunts.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/pulmonary-artery-banding\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pulmonary artery banding\" \/>\n<meta property=\"og:description\" content=\"Pulmonary artery banding is used to reduce the pulmonary blood flow in situations of high pulmonary blood flow as a result of left to right shunts.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/johnsonfrancis.org\/professional\/pulmonary-artery-banding\/\" \/>\n<meta property=\"og:site_name\" content=\"All About Cardiovascular System and Disorders\" \/>\n<meta property=\"article:published_time\" content=\"2014-08-02T02:30:55+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-01-31T08:15:52+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2014\/08\/Pulmonary-artery-banding-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"676\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Johnson Francis\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Johnson Francis\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/pulmonary-artery-banding\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/pulmonary-artery-banding\\\/\"},\"author\":{\"name\":\"Johnson Francis\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"headline\":\"Pulmonary artery banding\",\"datePublished\":\"2014-08-02T02:30:55+00:00\",\"dateModified\":\"2023-01-31T08:15:52+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/pulmonary-artery-banding\\\/\"},\"wordCount\":394,\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/pulmonary-artery-banding\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/wp-content\\\/uploads\\\/2014\\\/08\\\/Pulmonary-artery-banding-1.jpg\",\"keywords\":[\"Arterial switch\",\"Balloon expandable pulmonary artery bands\",\"corrected transposition of great arteries\",\"cTGA\",\"d-TGA\",\"d-transposition of great arteries\",\"double switch operation\",\"l-TGA\",\"l-transposition of great arteries\",\"large ventricular septal defect\",\"PA banding in cyanotic congenital heart disease\",\"pulmonary artery banding\",\"Pulmonary artery banding in cyanotic congenital heart disease\",\"reduce pulmonary blood flow\",\"single ventricular physiology\",\"surgical VSD closure\",\"Swiss cheese ventricular septal defects\",\"Swiss cheese VSD\",\"temporary PA banding\",\"tricuspid atesia\",\"Trussler rule\",\"Trussler rule for calculation of PA band circumference\",\"VSD\"],\"articleSection\":[\"Cardiac Surgery\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/pulmonary-artery-banding\\\/\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/pulmonary-artery-banding\\\/\",\"name\":\"Pulmonary artery banding\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/pulmonary-artery-banding\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/pulmonary-artery-banding\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/wp-content\\\/uploads\\\/2014\\\/08\\\/Pulmonary-artery-banding-1.jpg\",\"datePublished\":\"2014-08-02T02:30:55+00:00\",\"dateModified\":\"2023-01-31T08:15:52+00:00\",\"description\":\"Pulmonary artery banding is used to reduce the pulmonary blood flow in situations of high pulmonary blood flow as a result of left to right shunts.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/pulmonary-artery-banding\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/pulmonary-artery-banding\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/pulmonary-artery-banding\\\/#primaryimage\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/wp-content\\\/uploads\\\/2014\\\/08\\\/Pulmonary-artery-banding-1.jpg\",\"contentUrl\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/wp-content\\\/uploads\\\/2014\\\/08\\\/Pulmonary-artery-banding-1.jpg\",\"width\":1200,\"height\":676},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/pulmonary-artery-banding\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Pulmonary artery banding\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/\",\"name\":\"All About Cardiovascular System and Disorders\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":[\"Person\",\"Organization\"],\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\",\"name\":\"Johnson Francis\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"caption\":\"Johnson Francis\"},\"logo\":{\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\"},\"description\":\"Former Professor of Cardiology, Calicut Govt. Medical Kozhikode, Kerala, India. Editor-in-Chief, BMH Medical Journal\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/author\\\/jf\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Pulmonary artery banding","description":"Pulmonary artery banding is used to reduce the pulmonary blood flow in situations of high pulmonary blood flow as a result of left to right shunts.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/johnsonfrancis.org\/professional\/pulmonary-artery-banding\/","og_locale":"en_US","og_type":"article","og_title":"Pulmonary artery banding","og_description":"Pulmonary artery banding is used to reduce the pulmonary blood flow in situations of high pulmonary blood flow as a result of left to right shunts.","og_url":"https:\/\/johnsonfrancis.org\/professional\/pulmonary-artery-banding\/","og_site_name":"All About Cardiovascular System and Disorders","article_published_time":"2014-08-02T02:30:55+00:00","article_modified_time":"2023-01-31T08:15:52+00:00","og_image":[{"width":1200,"height":676,"url":"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2014\/08\/Pulmonary-artery-banding-1.jpg","type":"image\/jpeg"}],"author":"Johnson Francis","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Johnson Francis","Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/johnsonfrancis.org\/professional\/pulmonary-artery-banding\/#article","isPartOf":{"@id":"https:\/\/johnsonfrancis.org\/professional\/pulmonary-artery-banding\/"},"author":{"name":"Johnson Francis","@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"headline":"Pulmonary artery banding","datePublished":"2014-08-02T02:30:55+00:00","dateModified":"2023-01-31T08:15:52+00:00","mainEntityOfPage":{"@id":"https:\/\/johnsonfrancis.org\/professional\/pulmonary-artery-banding\/"},"wordCount":394,"publisher":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"image":{"@id":"https:\/\/johnsonfrancis.org\/professional\/pulmonary-artery-banding\/#primaryimage"},"thumbnailUrl":"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2014\/08\/Pulmonary-artery-banding-1.jpg","keywords":["Arterial switch","Balloon expandable pulmonary artery bands","corrected transposition of great arteries","cTGA","d-TGA","d-transposition of great arteries","double switch operation","l-TGA","l-transposition of great arteries","large ventricular septal defect","PA banding in cyanotic congenital heart disease","pulmonary artery banding","Pulmonary artery banding in cyanotic congenital heart disease","reduce pulmonary blood flow","single ventricular physiology","surgical VSD closure","Swiss cheese ventricular septal defects","Swiss cheese VSD","temporary PA banding","tricuspid atesia","Trussler rule","Trussler rule for calculation of PA band circumference","VSD"],"articleSection":["Cardiac Surgery"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/johnsonfrancis.org\/professional\/pulmonary-artery-banding\/","url":"https:\/\/johnsonfrancis.org\/professional\/pulmonary-artery-banding\/","name":"Pulmonary artery banding","isPartOf":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#website"},"primaryImageOfPage":{"@id":"https:\/\/johnsonfrancis.org\/professional\/pulmonary-artery-banding\/#primaryimage"},"image":{"@id":"https:\/\/johnsonfrancis.org\/professional\/pulmonary-artery-banding\/#primaryimage"},"thumbnailUrl":"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2014\/08\/Pulmonary-artery-banding-1.jpg","datePublished":"2014-08-02T02:30:55+00:00","dateModified":"2023-01-31T08:15:52+00:00","description":"Pulmonary artery banding is used to reduce the pulmonary blood flow in situations of high pulmonary blood flow as a result of left to right shunts.","breadcrumb":{"@id":"https:\/\/johnsonfrancis.org\/professional\/pulmonary-artery-banding\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/johnsonfrancis.org\/professional\/pulmonary-artery-banding\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/johnsonfrancis.org\/professional\/pulmonary-artery-banding\/#primaryimage","url":"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2014\/08\/Pulmonary-artery-banding-1.jpg","contentUrl":"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2014\/08\/Pulmonary-artery-banding-1.jpg","width":1200,"height":676},{"@type":"BreadcrumbList","@id":"https:\/\/johnsonfrancis.org\/professional\/pulmonary-artery-banding\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/johnsonfrancis.org\/professional\/"},{"@type":"ListItem","position":2,"name":"Pulmonary artery banding"}]},{"@type":"WebSite","@id":"https:\/\/johnsonfrancis.org\/professional\/#website","url":"https:\/\/johnsonfrancis.org\/professional\/","name":"All About Cardiovascular System and Disorders","description":"","publisher":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/johnsonfrancis.org\/professional\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":["Person","Organization"],"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec","name":"Johnson Francis","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","caption":"Johnson Francis"},"logo":{"@id":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g"},"description":"Former Professor of Cardiology, Calicut Govt. Medical Kozhikode, Kerala, India. Editor-in-Chief, BMH Medical Journal","url":"https:\/\/johnsonfrancis.org\/professional\/author\/jf\/"}]}},"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/13055","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/comments?post=13055"}],"version-history":[{"count":5,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/13055\/revisions"}],"predecessor-version":[{"id":58393,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/13055\/revisions\/58393"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/media\/58385"}],"wp:attachment":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/media?parent=13055"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/categories?post=13055"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/tags?post=13055"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}